- Wait, are these guys doctors? (laughs)
Oh!
This is the best part about GTA.
You fly, the physics of the
game is incredibly real,
but then the medicine of the
game is absolutely false.
(Upbeat music)
Hey, I'm Doctor Mike Varshavski,
but many of you know me as Doctor Mike.
I make YouTube videos where I try
and educate people about health,
have a little fun on the side,
but I'm also a practicing,
board-certified family medicine doctor,
treating everything from
your common injuries
to diabetes, heart attacks,
strokes, pretty much anything.
But that's what makes
my job incredibly fun.
And today I'm gonna be
evaluating video game injuries.
When I think about video game injuries,
I always think about things
being extra exaggerated.
Allows your imagination
to sort of run wild,
and as a doctor, I have to sort of
wrangle our imaginations back in
and explain can this really happen?
If it were to happen,
how bad would this be?
Could this person survive?
And in most of the times,
it's not gonna happen.
(String Plucking)
(swooshing)
(grunting, smashing)
This is so violent.
This is not how my patients would react
if they're getting hit like this.
I don't understand how all of
this blood is just popping out
of the person's body.
If we're going to have a cut,
then it makes sense that
the person's bleeding.
But if they're just getting hit,
why is there blood splattering
all over the place?
You see this person getting hit,
and they're getting hit what
seems to be in the chest,
but without even having a cut,
there's splatter coming
out of their chest.
That's not realistic.
In order to have some sort of
blood come out of the body,
there needs to be a break in the skin.
Unless the person breaks your skin,
what happens is you'll develop a hematoma,
which is a bruise, and you
have bleeding internally.
I will say, if you're getting
hit in the head this much,
you can develop a
hematoma, that same bruise,
the bleeding inside your body
that I was talking about,
but it can happen inside your
cranium, which is your skull.
And why is that dangerous?
Well, if I have bleeding in, say, my arm,
my arm will swell and make
room for that bleeding.
But in your skull since
your skull is a fixed bone,
it actually can't expand,
and when that happens
you build up pressure,
and that pressure is
not good for your brain.
(Grunting, smashing again)
Oh, oh.
(Grunting, smashing again)
Oh, oh.
First of all, I don't know
how strong these guys are
that they're punching through rocks.
That's got to hurt.
And I feel like you might break
a bone or two inside your hand.
There's actually a common fracture
that happens when you
punch with a closed fist,
it's called a boxer's fracture.
It's breaking of the bone
right here, horrible.
(string plucking again)
Wait, are these guys doctors? (laughs)
Oh!
That looks like an Escalade.
So these are the worst types of injuries
because you're going from
a high rate of speed to zero very quickly.
And you know what happens
when you bring something
that's moving fast to a complete halt?
Momentum happens.
So all of their organs
move forward, hit the body.
The brain goes forward and
it can actually get bruised,
and have major damage
to it on the front area.
You're not getting up from that.
Look at the car damage.
If that's the damage to a metal car,
what happens to the frail human being
that was just going thirty miles an hour
on a scooter that flew off?
And they're not wearing helmets.
I already disapprove
because they're speeding
and they're driving on the
wrong side of the road.
Oh no, oh no.
Oh, and the car goes flying.
(screaming)
Oh.
(laughs) This is the best part about GTA.
You fly, the physics of the
game is incredibly real,
but then the medicine of the
game is absolutely false.
Look at this car.
It's mangled.
But then this superhuman just
gets up like nothing happened.
If your car goes off a hill like this,
and you fly out of the car,
first of all, you're not surviving that.
Your neck is breaking, your
spinal cord is getting severed,
you're bleeding everywhere.
(tires screeching)
Oh, oh, oh.
That looks like a Bentley.
(car crashing)
Oh my god!
The car just crushed
that construction worker.
Oh my god, and he hits him in the face?
That's a Bentley, so it's
probably a heavy car.
Four thousand pound Bentley
is gonna fall on you,
you're not gonna get up
and get ready to get
hit in the face again.
You're gonna have crush injuries,
and crush injuries are quite dangerous
because when you damage
muscles, you damage bone,
there's all sorts of
issues that can arise.
Infection, low blood pressure
from not enough blood circulating.
If you have a crush injury of a bone,
you could have something
known as a fatty embolism,
where literally a piece
of fat leaves the bone
and starts traveling
throughout your blood vessels,
and it can get trapped in
the lungs, in the heart,
in the brain, and that's obviously deadly.
(string plucking again)
(swooshing)
(bones cracking, grunting)
Oh.
Oh my god, all right I'm going
to have to pause on that.
This insane wrestling-like move
just got this gentleman's ribs broken.
That's pretty realistic.
You got lungs there.
Let's see, one, two, three,
four, five, six, seven.
All right, the rib number
is a little bit off.
But that's okay considering its a game.
(bones cracking)
(laughing)
They even made the back ribs break.
What I will say is incredibly unrealistic
is ribs don't shatter
upon impact like this,
I mean, unless the impact
is absolutely crazy,
but generally what happens
is you get a fracture,
most of the time it's
a hair line fracture,
but if you have a displaced rib,
which can put a sharp angle there
and it can puncture your lung,
that can cause a pneumothorax.
That's a collapsed lung.
That's really bad.
So you want to act fast
in those situations.
(grunting, smacking)
Ooh, ooh.
(bones cracking)
Oh!
I watch those crazy videos on YouTube
of where chiropractors
are doing adjustments.
But the way this looks, it looks
like some of those YouTube
videos like where its like, bah!
And they're just absolutely
just breaking stuff.
(bones cracking heard previously)
Oh!
So the bone breaking there
is called the jawbone.
Medically, we call it the mandible.
And what happens is, it doesn't
even look like it broke,
it looks like it dislocated.
And you can imagine how painful that'd be.
Cause you have ligaments
and muscles attached to it
in order for it to move,
and when all that breaks, all that tears,
that's pretty good, I'm not going to lie.
That's a good anatomical description
of what a jaw dislocation would look like.
(grunting)
(bones cracking)
Aw, Aw.
That looks like a frontal bone fracture.
So, the frontal bone is obviously
the front part of your cranium.
In real life for that to happen
your going to need to have massive trauma.
Think car accident, going
from 70 miles an hour to zero,
hitting a wall and then air bag
not coming out or something.
(grunting, smacking)
Oh, oh, oh.
Aw.
See, it doesn't make much sense to me
because if you have
shattered skull like this
you're done, that's it,
you're not functioning.
(cracking bones, grunting)
Oh.
Ooh, so, that chop right there,
that went right to the cervical vertebrae.
That's the vertebrae that protect
your spinal chord in your neck.
There's seven cervical vertebrae in there,
and when they got chopped,
they shattered bad.
If they shattered, that
means the person's hitting
with so much force that they
could sever your spinal cord.
And if that happens,
everything that's connected
by your nervous system
down below that level
is no longer going to be functioning.
(string plucking heard previously)
(swooshing again)
(grunting, smacking)
Oh, oh. Aw.
Injuries like this happen.
People get into fights, they use objects,
they strike each other, it happens.
If you come into the hospital like this,
right away the first thing I'm going to do
is order a stat CT scan,
which is a CAT scan,
in order to figure out
A, is there bleeding in the brain?
Do we need to act quickly?
Two, is there any kind of fracture
that can pose a threat to you?
Like we talked about displaced ribs
that can cause a puncture in the lung.
If you don't correct a lot
of these issues quickly,
you could lose your life.
(grunting, smacking)
Ooh, oh, oh.
(laughs) The sound effect sounds
like he's getting slapped,
but it looks a lot more violent than that.
(banging)
Oh.
See, the way that he fell, and
the arm rotated in like that,
I feel like that's going
to be the biggest issue.
Like yeah, he got slapped
around a little bit,
he fell down the stairs,
but the internal rotation
of that shoulder and going past
the normal range of motion,
guess what's going to happen?
Tearing of your rotator cuff.
You're going to need to get
surgery, long recovery time.
(String plucking again)
(swooshing)
(gunshot)
Oh, oh, slow motion.
(gunshot again)
Ooh.
So, I'm not a gun expert.
The way these people are flying back,
it looks like they're getting
hit by a 12 gauge shotgun.
When a patient experiences
a gunshot wound,
right away the first thing we do,
make sure that they're getting
enough fluids through an iv.
If we need to, get a blood
transfusion right away.
We start a major bleeding protocol
and we get them to a
level one trauma center
as fast as humanly possible
and let the ER doctors
and trauma doctors step in
and hopefully save that person's life.
(string plucking again)
(swooshing)
Oh, what is that?
That doesn't even look human.
(creature screeching)
Oh, oh, oh.
(creature screeching)
Oh, oh.
Oh, okay, that looked like a burn.
I don't know if this
thing is human or not,
but burns are obviously dangerous because
you can get a whole host of
issues happening with a burn.
Dehydration, infection.
When you get a burn, you
get something known as
a contracture, which is
when the skin sort of
scars and contracts on itself.
That could be quite painful on its own,
limit your range of motion.
I feel bad for that
creature, whatever it was.
It got sliced and then burned.
That's not a good way to go.
(string plucking again)
(swooshing)
Oh, no. Oh my god.
(woman screaming)
That was an innocent person, jesus.
(squishing noise)
Oh my god.
(woman screaming)
Any time you have a knife wound,
that's incredibly dangerous.
Why?
Because this gentleman did not
insert a knife and leave it.
And when you do that you
actually cause more damage
because if you get stabbed by an object,
the idea is not to take it out until
you have emergency services
around you in order to
perform any kind of procedures
that may be necessary.
Keeping that object, if it's
a knife, a stick, whatever,
inserted into you, you
actually put pressure
on the blood vessels
and reduce the amount of
bleeding that's occurring.
(swooshing)
Well, that was not surprising.
A lot of these injuries are exaggerated,
the characters are superhuman.
They can seemingly survive anything.
In reality, humans,
while we are resilient,
we're still fragile.
And if we're going to
be falling off a cliff
and experiencing a significant
amount of g-forces,
we're going to have injuries.
If you want to see more of my videos,
check out my YouTube channel, Doctor Mike.
Just remember, doctor spelled out.
As always, stay happy and healthy.
(pizzicato music)
