EMTalk Movies

[MUSIC] Hello and welcome to EM Talk. EM Talk is a podcast sponsored by Axon Education in the Texas EMS School, and we are devoted to dive into the real world of EMS and everything relative. We interview real EMS providers, real hospital providers, real patients, and get the real story on what's going on currently in the world of EMS, and what we can do to make it better. Gunshot wounds, stab wounds, blunt force trauma, falls, drownings, explosions. These are the things Hollywood is known for. What we're going to discuss today is how those Hollywood people get it wrong. I could probably do an entire podcast just about this topic and never run out of material to cover. I can think of an almost endless pool of movies where I have had to sit there and think to myself, "Wow, that is inaccurate at all. That guy would still be alive. That girl would be dead. That's not even how that works." I think this is a common issue for healthcare providers, and I'm almost positive there are other podcasts out there for which this has been a major topic of discussion. But we haven't covered it here on EM Talk, and that's what's most important. So I can't think of a more interesting way to end the year than with the discussion of one of my favorite pastimes, movies and TV. Joining me today, I have Dylan Dugan. You may remember Dylan from our health podcast episode about nutrition and exercise in the world of the first responder. Dylan, how are you doing today? Hey, I'm doing good. Glad to be here. Awesome. Awesome. So Dylan and I have been spending a lot more time together, just working together more and coming up with ideas for how to make this whole thing better. The more interesting the topic, obviously, the more interesting the podcast and the more people want to listen to it. But that's not the most important thing to me. The most important thing to me is what do you guys want to hear? So before we get started, I want to make sure that you know that you can go submit ideas for topics for me to cover, for people for me to interview. You can go and submit those ideas to info, iNFO, at axoneducation.com. And we'd love to hear that input. So Dylan, I'm really glad to have you here again. You and I have talked about movies and TV just kind of like at a glance, I guess you could say a side conversation, but we've never like talked to each other directly about either one of those things. And I'm starting to figure out that you actually kind of like movies and kind of like TV. Because all we ever talk about is like work, EMS, working out, eating burritos. By the way, Dylan brought an absurd amount of burritos to eat for breakfast this morning. So it was pretty entertaining to me. So we're going to start this off. Dylan, give me a few of your favorite movies and favorite TV shows. Let's talk some on that. Let's see, going movies first, gotta be honest, I'm not the biggest movie. I love movies, but you would be, it's pretty comical the amount of movies I haven't seen that everyone is like, oh, like we've been talking about this since 2001, Grace moved all time and I've never seen it. So that seems to be pretty standard of my watching. But favorite ones, anything Marvel, anything Marvel's good. That's good choices. Yeah, anything Marvel, I'm pretty fond of the old shoot 'em ups, Tombstone, Young Guns 1 and 2. Really anything with some action or comedy, but I have a feeling that the action ones are going to be a little more relevant to our conversation today. They could be, they could be, but some of these comedy movies do the same thing. In fact, they do it to the other extreme, or some of you fall off a like a 30 story building and be like, oh man, it's a good thing I landed on that pile of trash and survived. Yeah. So golf club to, you know, the temple and the fight resumes. Yeah, exactly, exactly. It's a step brother. Yeah, yeah. He did some in the head with a driver and he's just fine. Yeah, and that's the kind of stuff we're talking about today. Some of it's funny, some of it's irritating because of the way that it gives people a vision of what we are in the EMS world. But most, for the most part, this conversation is going to be lighthearted and fun because that's what this should be when we're talking about these things. So you mentioned that it would be surprising to know what movies you haven't seen. So I'm going to play a game. I'm going to throw out some movies. All right. You tell me if you've seen them. All right. Hit me. Boom Doc Saints. Yes. One of my favorites. Okay. Good. That will be very relevant to this conversation. Exactly. 300. Yep. Okay. All right. We're hitting some good ones. Die hard. Negative. Oh my goodness. Yeah, I know. I dropped the ball. Bro, it's just right after Christmas. There's still time. There's still time. I've done my prep work. You got to you got to hit the new year right. What about a happy Gilmore? I mentioned happy Gilmore, but I love that one. You want some happy Gilmore? Parts of it. Parts. I'm going to have to sit down and watch the whole thing. Star Wars? Yes. The originals. Yes. Okay. Where are the Star Wars? Okay. Okay. Good. And you said you watch all the Marvel movies, which wow, ton of improbable things in those. But we won't attack those too hard because it's supposed to be a problem. It's a comic book world. Yeah. It's not meant to be realistic or else it wouldn't be in a comic book. So we'll still steer clear of those for the most part. So I'll give you an example of some of my favorites. And my list is kind of different, but it's super relevant to what we're talking about. I'm a big fan of horror movies. Like when I was a kid, my mom would sit me down and watch the original Halloween movie with me, Friday the 13th, those kind of things. And then my brother later exposed me. And I used that word pretty harshly exposed me to many violent, gory horror movies that a seven or eight year old probably shouldn't have been witnessed to. But hold on. Your brother exposed them to you at seven or eight and your mom sat you down and watched them before that point. Well, those ones weren't as crazy. The original Friday the 13th and the original Halloween are pretty mild compared to what my brother likes. Well, I'll just go ahead and update you all now. I have no taste for scary movies. So the severity that you're talking about. I have no idea the story of talking about it. I'm talking about like people's heads getting ripped off and like, I've always gotten gouged down and things like that. Like all the wholesome stuff that a young child should be exposed to. That's seven or eight. Perfect. Yeah. So I'm a big fan of those movies. So my number one favorite movie is actually Pineapple Express. But after that is the original Halloween. Yeah, Pineapple Express is, I mean, I don't know if you could call it a classic, but it's pretty funny. It's a classic to people like us. Yeah, I'm a little classic. That's good. That's good. And that one has some great, great traumas. Yes. I didn't even think of including that in the conversation, but we're going to. I'm already going. Yeah. I love that movie. There is. There is some good stuff. So we'll get that one. That's perfect. So anyway, so the movies that I grew up watching were all violent. They all had terrible things happening. And you know, here I am. I'm a paramedic now, which kind of makes sense because all I did was watch violence growing up. But I don't feel like that's entirely unusual. Most kids now like you show them something violent that we thought was violent when we were a kid. And they're like, this is kid stuff. Like this is for children. They party active. The violent act out on a video game at that. Yeah, exactly. They have robbed someone's grandmother and stolen their car and grand theft auto by this point. Not my kids. I'm a much better parent than that, but anyways. So you can ask you can ask my children what I let them play that probably I wouldn't even know honestly. Anyway, so there's so many things that we can hit there. Like I said, we could literally do a podcast on this every week and and find some movie to just go all the way through and be like not realistic realistic. That's not how that works. But I want to stick to like lists of types of injuries. And I want us to hit you know a couple different movies that that have types of injuries like that. Whether it was realistic or not ones that were realistic and then what happens in real life. Like thing, you know, we've probably both seen all of these things in real life on an ambulance and it just goes a lot different. It's just totally different vibe to the whole thing. It's never as dramatic as they make it in the movies and you know, this is an EMS podcast. So although I want to be entertaining, I want to be somewhat informative as well. So if you haven't worked in EMS yet or you do work in EMS now next time you're on that that call where somebody gets shot in the in the you know, the chest or something, you can be like, well, I remember I remember how funny this would be if this were a movie instead of actually taking care of your patient. Okay. So gunshots. That's the big one that everybody could get hit with. Everybody remembers a movie where somebody got shot. So give me one that you can think of. Ralph, the Bat Pony Book Spress. Okay. Perfect. Pony Book Spress dude gets shot like six times and. Oh, red. Yeah. He's already in like a sea collar and the wheelchair I think. That's right. Managed to become. unparalleled or whatever was going on and joined the battle and was shot around six times and that they go to dinnies Yeah, there's a minute dinnies and he's like oh man, he starts bleeding all over stuff. Yeah It's laughing. So there's a couple Now obviously you're not going to dinnies after you've been shot six times, but I have been a situation where I Have seen a woman in an ER that was shot six times. I think she was like 24 and They were all through and through miraculously hit nothing vital and this is crazy was sitting up in bed talking on some you know pain killers all the wounds cleaned and You wouldn't believe that she was just shot six times. Yeah, I'm not going to dinnies, but And I would say that's very rare your shot six times. Yeah, I yeah, but hey, you know like We get rare stuff in EMS all the time. So well, and that's usually in the movie It's the hero that can get shot all those times or the like extreme villain like in the horror movies I grew up watching that you know Michael Myers gets shot five times with a revolver at like point blank range falls out of a Window they go look out the window and he's not there anymore. I mean like no no recovery time just I'm gone y'all Batman's notorious for that - yeah, Batman will survive things You'll see him stitching himself up after getting shot and it's like, bro. That was a pretty good wound right there I mean, they're not just walking off but It can go to either extreme really and in pineapple expresses obviously the the major Funny extreme of that is somebody gets shot many times and then just goes to dinnies But I mean, I've had like you said I've had that gunshot when victim that they got shot in the abdomen and the and he was like Does it hurt? He's like yeah little and I'm like a little right. He got shot with a 40 - I mean it wasn't even a small caliber weapon So it was I mean, it's kind of a toss up. It's all about where you get shot so In reality the the location and the size of the round is what makes the difference you get shot with a 22 a lot of people Think that's less dangerous and it is if it goes through If it doesn't go through you got to think that's like a little tiny little round just rattling around in your body cutting stuff up Exactly and and those are the deadly ones. Those are the ones you bleed out from now if you get shot with a 40 or 45 or I mean a 50 somehow somebody's carrying around one of those The size of the wound alone could cause some significant bleeding But you'd have to get shot in the right spot to die from that for the most part because most of the time it's powerful enough that it just goes through And and either it hit an artery or it didn't and if it didn't Chances are they get in there they can fix it no harm no foul. Well, I mean not exactly no harm no foul But but recovery is is likely in a lot of those situations and we see that all the time Well the gunshot wound is interesting because If if you don't know anything about you know medical type stuff right off the bat you think a gunshot wound You wouldn't think that you're gonna die from the internal damage I mean because it's like it's a large like you see in movies you get holes blown in people. Yeah, there's blood spurt Now yeah, yeah 90% of the time the entrance wound to a Gunshot is nothing more like once you clean up and take the blood away from it looks like a little like Stab wound from like a paring knife. Yeah, yeah enough But it's all the ricocheting it bounce in like liver lacks and lacerations to all your internal organs that does it and Yeah, most people it seems like in the movie seem to bleed out all over the place We're in real life like you're gonna bleed out You know in a small-around situation from probably internally Yeah, and that's that's the real danger of of these type of wounds. It's not like It's not like instant death, you know, we see that a lot in the movies and of course. Yeah, if you get shot You know the shotgun through the head Sure instant death is pretty likely, but most of the time it's a slow painful death Unless you know you get nicked in an artery or something then it's a couple minutes, but it's still it's not usually instant and even I mean a gunshot wound to the head is not instant Not even always fatal. I mean even in a blinkin times It do get shot in the back of the head and doesn't die for several hours so and now with modern You know science and medicine It's just the things we can do or just amazing not we EMS can't do a whole lot for that situation But we can get you to the hospital and keep you alive as much as we can But I mean I've never witnessed a gunshot wound to the head that they survived But I do know people who have survived it. Oh, I bet you have and maybe not but have you transferred? You got called for a gunshot wound to the head. I mean I haven't transferred that you have you had one like that? I haven't transferred one, but recently There's been like three year round here and the in the past month and a half that has happened GSW to the head and they're transferred like they take into the hospital work. So you know, that's crazy It's like you said. It's not instant. It's no no, you know what I mean? Yeah, and and I hate that It's kind of given people this idea that if you shoot somebody that's the end of the game right and in reality like a gun Isn't the ultimate protection? I'm not an anti-gun person whatsoever I grew up in Texas. We love guns here and that's that's reality But you know, it's not like that's just gonna stop the situation. I mean, there's some people you get and you shoot them in the wrong spot They're just gonna keep on going and they're gonna be mad about it. That's true. So You know, this isn't a self-defense podcast. So I won't go deep into that But it's it's not like it is in the movies and that's number one the number one thing Hollywood gets wrong And I know why they get it wrong because it's not interesting to have you know somebody Die the way they die in real life like that's that's not interesting. It's not it's not as dramatic in real life It's usually just a lot of silence or Some a little bit of crying most people yeah Gurgling noises Death in real life is not near as exciting as it is in the movies Which is saying it back to myself in my head is a pretty morbid thing to say But it's it's reality and that's what we're all about here So gunshots gunshots are a big one Staff before we get too far off of gunshots. I wanted to ask you about a scene you seem to shoot her Yeah, of course of course Mark Wahlberg. Okay. Okay. This is good. Okay at the beginning of the movie He is a I don't remember the exact circumstances, but anyways He suffers a gunshot wound. I think maybe to the chest or to the arm From there he proceeds to like fall through a glass like skylight and then he's in that room And he's supposed to be spotting where the sniper would shoot for and then that cop shoots him from behind that right and After Secondary to be in shot he falls through a glass Skylight and disarms an officer. Yeah, amazing I think I don't even cuff them to he does he steals a handcuffs and cuffs him to a lot of the Texas cold and from there I think he gets under a bridge and ends up swimming at some oh yeah, he's majorly active while bleeding significant one gunshot wound Soft tissue damage no vital organs. Maybe the chest or shoulder is a trained Fighter seal whatever he was are they accomplishing something like that? Do you think I'm a are you asking me if I think that that Mark Wahlberg? Or a trained seal the most ideal trained seal. So let's walk through a real life scenario where this has happened I mean obviously not exactly like that right. We're talking about Mark Wahlberg in that scene and a real life scenario would be we look at the lone survivor Marcus Latrell who incidentally is played by Mark Wahlberg in that movie, but Mark is plays and shooter so yeah Mark Wahlberg's got something going on here. Yeah, he's obviously well well built for military pertained life Well Marcus Latrell gets shot multiple times Survives the whole thing the only person to survive his whole thing now He in his book that dude like hides out. I mean he's not like Running out and fighting the enemy after he gets shot multiple times He fights for a little bit, but the only way he survived that was finding a way to take cover and surviving long enough to make it back that was it and Don't quote me on the exact scenarios of that of that event because I'm not up to date on it but I guess it shows that it came to some extent can happen I mean if you're well trained and you're you're trained to know that you have to keep moving or else you'll die I mean why not why would I don't think you could do all that activity? I don't think we're falling out of a window cuffing a federal agent who are also very well trained in hand to come back I don't think we're doing all of that But I mean I could imagine that he could probably work his way out of a situation and survive for some time I mean it's just like you said it's like a flesh wound. It's just to the shoulder It's a flesh wound But let's let's break down what are we I mean what are we really scared of with you know Possibly deep flesh wounds so shock. Yeah, yeah Internal we're talking about internal bleeding mostly well in this situation you take a large round to a shoulder to the chest You could have enough external bleeding to go into shock true true thing. Yeah, definitely now You're going into shock possibly or that's there's a chance of that But you keep your heart rate going it probably 200 beats per minute and you're fighting and neither those things are good for no No, no, you're supposed to lay down and stay still where they're still a shock So I guess it is just situational there. Maybe that was a possible thing to happen in that scene if you got shot in the perfect place where It's you know, it's not gonna cause shock like him. I mean that would be the key there is how much bleeding occurs One that shoulder is probably useless though for you're not using that arm for anything I mean because there your body is gonna feel that pain and be like no don't do it and try to stop you from using it When you're Exactly so there's some Unrealistic elements to that now do I think Mark Wahlberg could do that yes, I do So yeah, no, that's like one of my favorite actors that he buddy does incidentally He plays a lot of military characters at Surandom and he's a perfect example for this he gets shot in almost every movie he's in That's true. Yeah, so he's got the forehead of hair the rug of look. Yeah, he's perfect He's the guy you want to shoot and have him survive in a movie. That's it. He's that guy All right, so moving on from gunshot wounds stab wounds Similar we're still talking about bleeding and that kind of thing but We're talking about usually Honestly a much more severe wound in my opinion than a gunshot If you're talking about hand-hanging combat absolutely number one tool you want to use Gun keeps you safe, but Knife is more deadly because it can it can do more damage you stick it into somebody and turn it around and you've just made a way bigger Hold than any round was gonna do to somebody for sure and there's more damaging surface air. I mean But your average blades three to four inches long and sharp on both sides, you know Yeah, and one to two inches wide right? I mean so More room for damage via surface area absolutely so I would say that Movies get get this one right a majority of the time the stab wounds except for like they'll have people die From stab wounds that make no sense Like somebody got cut on the side of the arm and now all of a sudden they're dying right or Things like that, but for the most part movies. I mean, it's pretty accurate. You get stabbed in the wrong spot and you're dead I mean, it's just you're gonna bleed out that that's true one One thing I will point out in Knife wounds and movies is what you see sometimes or often is Throwing knives and it's like instant death upon yeah, I know that's not accurate at all It seems like anytime someone gets hit with like a throwing star in a movie or a knife like it's insta kill Yeah, and why would that kill you like it's a tiny little like you said it's all about the surface area Right, and we've got very little link for penetration right and very little surface area So we're not hitting anything we're getting into the muscle. I mean, we're then gunshot wounds via Hollywood Yeah, Hollywood exactly and just as accurate somehow yeah, unless your life is devoted to throwing a knife You are not gonna be that accurate right so With a knife wound, I would say it's it's probably gonna do more damage and you know, there's a good chance Depending if you're stabbing the right spot. It's more likely to kill you than just a small round from a gun shot But it's not and it's not an instant thing. No, no I'll get it and you instantly drop. It's it's gonna be prolonged a little bit But there's gonna be significant damage probably absolutely absolutely I'll give you a really good example one of my favorite Series of movies is the screen movies. You're seeing screen. I know you're not a scary movie saying anybody got well There's this character in those movies Dewey and Dewey is the the happy go lucky sheriff's deputy character in the first movie first movie do get stabbed I think twice wait is this scream or scary movie scream scary movie makes fun of scream. Oh, yeah Yeah, I'm like because the guy in scary movie is doofy. That's a scary movie So in this one this is the read the scary version Made by Robert England who also did Niner on own street another good horror movie But do we get stabbed a couple times in the first movie survives it okay? believable comes back Limping in the second movie because they stabbed him in his spinal cord and so he's got a little bit of a Gimp to him. Yeah, it's a good word. He goes to the second movie and he gets stabbed like 30 times in the back survives at the end now Again, the stab wounds aren't instant death, but you get stabbed 30 times It's likely one of those wounds is hitting something vital. It's it's crazy to me that people will walk away from things like that And I will say that I do know of real life situations where people get stabbed many many many times Inmates is a good yeah, and they survive it. Yeah, they survive it So it does happen, but Hollywood does this all the time Like I said they didn't go to one extreme or the other right and with in this these movies the screen movies Half the characters die from one stab to the chest or one stab to the shoulder the other character Do we run around getting stabbed all day long and walks off at the end? So it's it's like we'll pick pick somewhere in between there and that's more accurate It's more accurate, but it's not it's not gonna get the desired effect which would be entertainment Exactly, yeah exactly and that's why I say I'm not down on the Hollywood thing I still love the movies and everything, but I I hate that like people have this like extreme misconception of how injuries work I it's just like you get people will get we'll get a call to someone's house because they got stabbed and Really what happened is like they like accidentally cut their hand open or something and it's like we're not gonna die from that Like put a towel on it and go to the doctor or something. It's it's not a huge problem But they've seen all these movies where someone gets stabbed or cut and then they bleed to death Right and so they in their mind they are definitely gonna bleed to death from that So in medical people are the opposite you could stab us in our throat and be like oh, it's cool I mean just keep pressure on it and we won't go to the hospital So it's you know it happens both ways it definitely does but it's It's almost it is comical on scenes where people do get stabbed sometimes where like I had a scene where a guy was stabbed in the leg By his wife and we walked in and There was relatively no blood he was standing up and we were wondering where our patient was and we were talking to him and we get him in the ambulance and he was stabbed like a four inch like a steak knife in the thigh Right in right out and we didn't hardly even have to control bleeding is just any the way that works sometimes Yeah, I mean sometimes there's like nothing to do about it. It's gonna heal. It's fine Yeah, you need to make sure you take some antibiotics to avoid some infection But that's about it. Yeah, yeah It's it's crazy the the way that people think about it now I've had very similar scenario while walk up and I'm like oh, you're the victim right couldn't even tell but I've also had one where I was out Working the amests in my rule area where a lot of my stories come from and They called us to the hospital and they were like yeah, we've got a god bleeding and we can't control the bleeding and I'm like Well, did you put a turn to get on and they're like no because he got stabbed in the stomach? Well the dude had accidentally fallen on a knife and he hit an artery Oh, and so I was like oh my gosh these people are way overreacting But I walk in the room and there's blood spurtin and so the only way I could think to control it was literally to put all my My body weight on it with my hands on it and it controlled the bleeding but anytime I moved at all it just started spraying and So that is one of those scenarios where you should be like oh man. I could die from this You got you got a stab wound where blood is spraying everywhere now you're dying now We're talking about tied into call EMS This brings me that this I would actually wanted to ask you about this and that is like an exact Representation of you seem private Ryan. Yeah. Yeah, I think who is it the medic? That I think the medic gets shot like twice in the stomach. Yes, and all four of the or there's like four or five other soldiers and they're trying to Control bleeding while he's giving them orders and That is their that's basically what they're doing They're just seeing where all of them like pile their hands together and interlock them and like put pressure on his whole abdomen You know in between like pouring some kind of Poor magic dust. Yeah, whatever it is back like packet or dirt and but um I honestly, I haven't had a scenario where I've had a large punctual in like that to the abdomen to the midsection. I mean, are you, I mean, I guess you're talking about it right now. You're using your whole, the whole problem. Oh yeah, well because you got to think the actual bleed could be coming from anywhere and it's pressure that's built up, that's forcing it out. And so whether that bleed could be surface level, it could be behind an organ wherever. So now you're basically, you're putting pressure down so that you can try to force all the organs and everything else to clamp it all around. And so either, I mean, unless you know exactly where the bleed is and can like pinch it with your fingers almost, the only option is just to use your entire, almost your entire body to hold pressure because it's an abdominal wound. And that's something they don't really teach very well in school. In fact, I don't remember them covering it like that at all. Every abdominal wound, I'll just put an abdominal dressing on it. Yeah, bulky dressing. And I'm like, yeah, that'll do it. That'll do the trick. No, we couldn't even rack this guy tight enough to keep it on there. We had to do it the way we were doing it. And you know, you got it's trouble shooting as a big part of UMass. It's like sometimes you just got to make it up. And that's the hard part for most providers is they get this protocol taught to them from the book and they can't do that. They don't know how to just make it up. And I'm not saying make up the knowledge. I'm saying use the knowledge you have to come up with a different way to treat it. Do no harm is absolutely our number one goal. But you have to improvise sometimes. That is the nature of UMass. We're out on dirt roads on the side of the highway in people's homes trying to solve these problems that they are trying to resolve in hospitals most of the time with all the appropriate equipment. And we've got like, sort of, fire medics and paramedics and EMTs and all of us standing there like, all right, somebody's got a hand towel around here. Yeah. And we're trying to fix it with what we got. So it's the name of the game. Well, they finally, for the longest time when I went through EMT, the main thing they taught for stopping severe bleeding on extremities was a tourniquet. But they taught us how to assemble a tourniquet and we had no class over the cat tourniquet. So they didn't teach you how to use the actual tourniquet device? They didn't teach it. It's all about how to fashion a tourniquet out of some vine you have laying around. We were talking about that earlier. We were trying to go bandage, which is just, it's crazy to me that it's not universal that we get taught how to use like those tactical cat tourniquets. Right. Because most of our tactics come from the military. Right. And that's where that device comes from. Right. Yeah. So I don't know. It just, it does make sense to know how to do it without that because let's say you're on a major incident, you know, you're on an MCI, you've got seven patients that need tourniquets and your truck's the only one there right now. They need it now. So I'm running around with trying to bandages and making up tourniquets. Sure. But how often does that happen? No, not very often now. Especially if you're in an area where you could have something that big, you generally have more than one ambulance to respond. Or you have fire units that also have equipment that you need. It's just not a common situation. But I will say I've been in a situation where I couldn't find the tourniquet or I couldn't get to it quick enough. And I was just like, okay, forget it. And just tied something off. And now I was a part of a stop. They've got these stop the bleed classes that teach into like corporations like banks. Like we taught a stop the bleed to everybody that worked in a bank because I mean, not to get down or anything, but that's a likely place. Someone gets shot. You know what? What bank are you at? I want to know what bank was concerned about this. It could happen. So we taught what they did was actually provided the bank with like combat gauze and tourniquets. And we taught the whole, all the employees at the bank how to use them, how to stop the bleed, which that's great. Yeah. The more people, it's kind of like CPR. The more people out there that know that, the better the chances are that people get the help they need. It's not like there's an ambulance on every corner waiting to save somebody's life. We're, you know, it's a limited number of resource to try to help hundreds of thousands of people. And the more people, civilians out there that we know that can at least do the initial like life saving things, you know, the better the outcome is for everybody. So if you're listening to this and you're not EMS, consider finding a way to go through one of these stop the bleed classes. Contact us. We'll put one on for you. Contact Axon. We'll do it. We'll come near your location and do it. Metrocare out of Abilene is one that does these stop the bleed classes all over the place. So they'd love to do it as well. So if you're interested in that, if you've got a company that needs to do it, give us a call or give us a shoot us an email again info, INFO at axoneducation.com. Okay. So moving on next big injury and then we're about to get to the one that I think is the funniest. It's going to have the most comedy to it. Falls is big injury. A common way to get injured in a movie or a TV show. And the funniest thing about falls is there is never an in between on movies or in movies. There is either extreme like injury from a fall that wouldn't hurt you at all or there is no injury at all or a spray nankle from something that should have killed you. So an example I can think of for this, probably the three stages. I know I'm going way old school with this. You lost me with that one. Okay. So let me try to think of one that's more recent. But I'll go with most people are going to you'll get the reference either way, even if you don't have it. So they'll fall from things or get hit by things and you're just like, what? How are you walking away from this or cartoons? Look at like bugs, bunny or wily Cody. Wily Cody falls off of the cliff every other day. And he's just walking away from falling off of that cliff. Things that you'll see a lot as parkour has become really relevant is people like falling down in alleys like jumping across buildings. And I'm talking about even like as they put parkour, which if you don't know what that is, it's free running. It's like running from point A to point B with the most in the most creative way possible. And I'm not talking like the office version, Steve Carell version of parkour. I'm talking about real parkour. And in movies a lot of times we'll have somebody screw up in the fall chasing the guy that's actually doing it. And they'll like fall in an alleyway and hit like a metal trash can and just stand back up and it's like, you know, and they'll fall like three stories. I'm sorry, but if you fall three stories and smack your back dead center on a trash can, it's likely going to break your back. It's always the car that breaks the fault. Like they fall in a good room and it caves in a little bit. I'll tell you about falls in my experience. Any mess is it has been one of the most surprising things to me very recently I had a guy fall off of a storage building like a eight foot storage building. And he fell. He like he didn't land. He didn't even land found his back. He kind of fell rolled. We got there and we assess him and from the looks of like the mechanical of injury, how high it is, it's, you know, maybe like a sprained ankle or something. You've probably seen like kids jump off of this in the backyard onto, you know, onto the grass. We get into the hospital. He's got a pneumothorax. He's got broken ribs. He's got a dislocated shoulder. From an eight foot from an eight foot fall and it wasn't like a fall straight onto your back type of fall, it was like a hit the ground rolling type of fall. So I completely counted out every movie I've ever seen where you fall anything from anywhere over one story into a trash can or pile a trash or onto a car. Oh, it's crazy. Oh, it's crazy. Look at a dark night, the dark night, the second Christian bailbatman movie. He's got the Joker at the benefit that he's throwing for Harvey Dinn and the Joker throws Rachel out the window and she's fallen back in jumps after he catches her. They fall like 14 stories. I swear if it was probably more, I'm probably under exaggerating here and they hit a car and she lands on top of him and his back hits the car. I don't care what kind of armor he was wearing. It could stop a bullet and it's still not going to be able to withstand that type of force. Even if the car breaks away, there's still a frame to a car like you're still falling on a metal frame like it's just ridiculous. Well, Hollywood's fall logic is if you fall and hit anything other than the ground you're fine. Yeah, absolutely. Absolutely. Not the case. the ground is better. It's just crazy and Hollywood gets this one wrong so so often And and like you said in reality like an eight foot fall could cause some life-threatening injury Yeah, life-threatening and like you said that dude roll He didn't even like he fell and tried to fall the right way You're supposed to roll or you're on a fall you were supposed to either fall on your back Or you're supposed to roll with the fall because if you roll with the fall It moves the force with you and redirects it sideways or for frontwards or whatever instead of just flat to the earth and I'll add in there that he he's like 45 so yeah, so he's not young he's not young, but he's not like 60. No, he's not old either. Yeah I'm not too far off the net and get in there so Yeah, so it's just realism there is Completely out the window with Hollywood. There's just no they're not even close to what that would be So anything else about falls because I'm pretty excited to get to the blunt face trauma No, I don't think so all I know is about the falls that I've I've heard about and I've talked about with employees of mine is A lot of the times if it's anything over like two or three stories that person doesn't end up getting worked Yeah, yeah, no my like they're pretty traumatic and it's trauma everywhere It's yeah, you can't you can't do CPR where there's nowhere for the blood to travel through And that's the the common result of an extreme fall and and again extreme is anything above one story usually There's not there's not much to work in that people have fallen from extreme heights and survived it does happen You hear about people there's I think there's like three people on the faces are that have fallen from a plane and survived The circumstance there has to be almost perfect They have to fall in exactly the right position exactly the right place or else they are dead There's no way yeah real dead very dead so Blood for trauma blood for a trauma The funniest one I could think of is the Darrell from the office Greg Robinson getting in the face of the coffee box Or the stepbrothers one that we spoke of earlier with the dudes they hit each other in the temple with different objects and somehow survive Can you survive sure yeah, but let's go over a couple those So get break down the scene where we're What's his name in that movie Craig Robinson's character? What's his name in that movie which movie pineapple express Dude that gets hit with a coffee pie It's Darrell in the movie right it's Darrell in the office It's Darrell in the office that's right Craig Robinson if somehow you're watching listen to this podcast sorry Darrell from the office in pineapple express tell us the scene that's happening I don't know we'll probably do it right after that was that was an interesting one because we've got more than just blunt force trauma going on there We've also got scald and hot coffee and glass and glass so you've got potential lacerations you've got potential severe burns and also you know blunt force trauma from a coffee pot Being baseball swung into somebody's face And so the character in that movie that that hits him is um Is We obviously love this movie because I can't think of anybody's names But it's James Franco's character hits hits Darrell from the office in the face of the coffee pot and afterwards He asked what his face looks like and he goes looks like somebody messed you up with a coffee pot And it's it's pretty humorous but at the same time like you get hit like that with burning hot coffee Glass in the face the chances are you were not just gonna be walking around doing the same old same old It's uh it's an injury that's putting you to the ground you might not die But you're going to the ground because we've got one the hot coffee if it goes in your mouth could scald you throat and cause swelling So we've got airway issues the hot coffee to the eye We'll cause vision issues It could go in the ear and cause hearing issues. So we're we're causing like almost total sense deprivation Uh mention just the pain in general Yeah, yeah covering one whole side of your face You know said you two faced him. Yeah, I did he just instant two face. Yeah, I think coffee Like yeah, you've got you know second or third degree burns to one side of your face. You're not just carrying on your task of Hunt down Dale didn't It's a dead dead dead dead dead dead dead dead dead dead dead So um yeah, no, that's the reality of it That's the reality of that type of wound is is you're not just getting up and and walking around afterwards. It's there's no way um Stepbrothers we mentioned this one earlier I think I and I think I got that wrong didn't they double swing at the same time? Yes, they hit each other in the temple in the temple. Yeah with One of them had a base or one of them had a golf club. I don't know what the other one had I want to say a tennis racket might have been a tennis racket which I've been hitting the temple with a tennis racket And I'm sort of and I survived you're still here. I'm still here. So it can happen. Hello, see Um Almost I didn't completely lose consciousness. I got a little dizzy, but I did not lose consciousness Negates our whole argument. I know. So that one's probable they could do it Because they both I mean they knock each other out in that scene and that's that's possible, but I know another movie um It's guy I can't come closer remember in the name of the movie, but anyways this little kid is playing baseball um and and he's a little person and uh he has an older friend who is not and they're playing baseball and he hits the ball And he's real excited because it's a great hit and the ball goes out Off-pressed the fence and hits this other his friend's mom in the head in the temple and kills her Have you seen this movie you have a look on your face of familiarity? Um, no, I was thinking he doesn't kill her. It just like ricochets off And uh everything's fine to move you know thinking about okay, maybe there's two of these situations Yeah, Hollywood and one of the ways instead death and the other one So there you go. There's two very similar situations um And you've got happy Gilmore where he stands in front of the pitching machine and lets the ball hit him directly in the forehead Which if you're gonna get hit that is where you want to get hit in the head because that bone right that part of your skull Is the part of your skull that can take the most uh blunt force trauma? Yeah, um still not good to get hit in the head That's also where your personality and judgment takes place So uh it's not the best place to get hit but it's the most survivable Yeah, um other blunt force uh thing is my favorite go pistol whips pistol whips very good very good. Okay, walk me through one a pistol whip Uh typically pistol whips they end it they end the fight yeah, or they oh yeah, they in the circumstance somebody comes up from behind Actually pretty much 99% of the time So there's something going on. That guy walks up from behind pistol whip to the back of the neck with the butt of the gun It is like again insta drop it doesn't kill him usually or probably ever but it's in seem like Yeah, it's usually yeah instantly lose Yeah, it's like they got hit in the jar or something by a nice punch. Yeah, what is the science behind the pistol? I mean is there I don't know if here is a sign of the technique or you aiming for a certain like Well, I would think you'd aim for the temple if that's I mean if the idea is to cause in those damage you would think But it's always in the back of the neck The back of the head could stop you from breathing as you could get down low and get them a do let or something But maybe that's where they're aiming because it I mean it's like clockwork But I mean I know what you're saying because you see it in movies all the time It always ends the situation. It's never like I just got hit with a gun and then I get up right It's like always the end it's always the end of the fight. Yeah, they always go black um Oh Back to the future It may be in a blackjack in that movie, but it's similar he comes up behind him and hits him in the head um Because they ask him he's it's where he goes back in time and then he goes back to 1985 and it's the alternate timeline where biff is like this like super rich guy and He's at his casino and biff says bring him already to me and then his goons go and get him But they say you can go the easy way or the hard way and they knock him out and you just hear him say the easy way Will they hit him in the back of the head and I can't remember it was with a gun or with a blackjack But it's just like that is like instant like he goes out just instantly might as well Switch that could be it in a bending technique Well, it's gonna okay, so we're replacing a rapid sequence in debation With Just hitting people in the back of the head We're just gonna start pistol whipping people one now. We've got something to protect ourselves on the ambulance and two It's much quicker. It takes a long time to drop all those minutes for real Um, so cheaper. Yeah, definitely cheaper I guess I feel nice, but not that one You can say lots of people's names, but not that one. So, another blunt force trauma I can think of is punching and kicking in movies. Primary method of attack in a lot of movies. And I don't know, I guess I've never, I haven't been punched and kicked enough to know how realistic that is. But I've seen a lot of people fight. And it's usually fine. Like it's usually not a big deal. We've got to get a template here. You've got the MMA. Right, okay perfect. You've got the MMA, people receive multiple punches and kicks all over their body including their head and keep fighting. Absolutely. Absolutely. Very true. So, I don't know. And obviously the Hulk is going to be a very exaggerated thing and probably not a good example. Yeah, because he punches people like a hundred yards. So, unless you're the Hulk, I don't know if anybody has gone around punching people to death. You're going to love that he's been portrayed. Like in Boondog, Saints were the one detective thinks it's a serial crusher. And it's just a large guy going around stomping people to death. Many of you see it's like go fetch a coffee, I think. Yeah, I get sent for coffee because of how stupid he is. If you haven't seen that movie, I know it's so stereotypical. Oh, here's these like college age guys or like mid-20's guys talking about Boondog Saints. But that's a good movie. So go watch it. It's really entertaining. Now the physics. Oh yeah, total all all. There's one of those fall situations. The dude jumps off of a three story building holding after he throws the toilet off of it. Oh, onto the back of the door. And he jumps on to somebody. And he limps away. That's it. Just limps. I'm well actually it knocks him out. But it knocks him out because he falls. He hits the dude, gets knocked out. His brother gets up and picks him up and carries him. Or he knocks out the other dude and then carries him off. Which again, getting hit with the toilet seat. I think that toilet. I think that's pretty accurate. I think you would die. I think that'd be the end of it. You think toilet head with just swinging a toilet seat to the head? No, maybe not. But definitely the toilet dropping. The toilet drop 100%. Yeah. The story toilet drop. That's going to do it. I think that would get you. But the thing is it's porcelain. It shatters. True. A lot of it is. A lot of it's force and energy just goes into the miscellaneous flying pieces. So true. True. Gotta consider that. That's true. I didn't think of that. I think it's like Hollywood will hit people with objects and it's like, well, I mean, you hit them with like a balsa wood. It's breakable wood. Right. It's not a big deal. Yeah, I pulled you. Okay. Yeah. Again, what hurt? But it'll just snap. I mean, it's not thick. It's not anything to shake a fist at. So we've got. Well, one more. Tromas. Another one. Roll vehicles and movies. Yes. Very good. Very good wrecks. Wraps and moves. Wraps and moves. In general. Yeah. Um, those we have an extensive experience with working different types of wrecks. Sure. And the outcome is not usually that severe. It's, it's wild. And that, this is one thing where I would say, uh, it's hard to say if Hollywood got it right and wrong because there is such an extent to what can happen. Like, oh yeah. Oh, you can roll a car 15 times. And if you're ejected in like in a good spot, be perfectly fine. Like get up and keep walking, you know, see it? Yeah, I see it. Likewise, you get ejected into a guardrail and get slashed. But, um, the range of possibilities is probably endless with car wrecks. I mean, I think so. Yeah. I mean, I've seen a lot of roll over wrecks where people were just fine. Yeah. And I've seen them where people die. Yeah. Seat belts, they work. Seat belts work. I'll tell you, get, if you're going to buy a new vehicle, you get yourself one, obviously one with a seatbelt, which all cars come with that. But side airbags, front airbags, all of that. Those are the things that I'm seeing out there that are saving people's lives. Like I've seen people getting some wrecks that in an old school car probably would have killed them. Oh. And then I'll see them walk away from it because they're in a brand new car with every safety feature that could possibly exist. And they just walk off and they're like, "Oh, I feel fine." You know, seatbelt was a little tight, but whatever. Yeah. It's wild. It is. So, Hollywood, you know, your wrecks, cars don't explode. They don't explode. They throw that in there. They don't just, they're made not to explode. They'll let it, you know, that is one thing we can automatically debunk right there because we've been on lots of car wrecks both of us and how many have been on fire. I have seen one car on fire. It can't happen. Usually, it's very slow and gradual and it's just from leaking fuel which takes a while usually to leak out of the crush. Yeah, and it's still. It's not like it just travels back up into the engine and explodes. Exactly. And it's just, it's on fire. There's never an explosion. No. It could exist in some crazy circumstance like you had some dynamite in your trunk or a natural clitorin or something, but generally cars do not explode. So, shame on you, Hollywood. But the wrecks you're doing okay on, most of those are pretty close. There's enough leeway where when your hero gets his car flipped and like crawls out and keeps going, it could happen. Yeah, yeah. You hit the right way. Had your seatbelt torn? Yeah. Now the ones where they're not wearing their seatbelt, those guys are usually getting their car. But that's okay. That's okay. So, you know, there's, like I said, there's so many things we could talk about here, but we're almost, we're going to be keeping you guys busy for, for almost an hour with this one. So I kind of want to bring it to a close and maybe I could do a second one where we talk about a specific movie the whole time. Yeah. Yeah. And just hit. You guys through the entire movie and just hit it, hit it, hit it and talk about what happens. And I think that would be a fun one to do like this summer or something. We'll do like a blockbuster one or something. And maybe like the treatments that might go with the end of the year. Yeah. Yeah. Something we're also informative. Yeah. This is informative. This is absolutely informative for all of you that are fighting the good fight out there and are sick and tired of seeing Hollywood get it wrong. So let's go ahead and bring this one to a close Dylan. Thanks. Thanks for being with us this time. Thanks for having me. I appreciate it. Absolutely. And we'll definitely, I said I would have you again and we did and we're going to do it again. We did again. So when you sit down at the end of 2018 to watch your favorite movies or binge watch your favorite shows on Netflix or some other streaming service, try to think of us, the first responders. Pay attention to where the bad guy gets shot and what caliber weapon is used. When the hero gets stabbed in the leg, pay attention to what the closest artery really is. When the teenager running with from the group of bullies jumps off of a house to escape, try to eyeball the true heart of that fall. And when you see the EMTs loading the stretcher under the ambulance backwards and then run lights and sirens to the hospital for a patient having a hard time catching their breath, let it be myself and Dylan who ruined that movie for you. We invite you to join the rest of the healthcare community and judge every scene every time. Remember, knowledge is vital in EMS. It's life or death. We'll see you next time on EMTALK. Thanks.