People don't realise just how brutally tight a tourniquet has to be in order to be truly effective. I was attacked by a knife-wielding nutcase in the Netherlands the other year and was bleeding out; the first responders put a tourniquet on me and that honestly hurt more than being stabbed and slashed up. But, it saved my life.

I had a lot of fun with this shoot. Thank you so much for having me!

“It could be uncomfortable” meaning “pure agony” 😂😂😂

This lady is fantastic, can we have the mortician guy, the CIA disguise lady and the bug guy back to do another video soon? It's amazing how yall find people that are knowledgeable yet can break down things so average Joes can understand, this is another home run

“This is pretty much how it would be done” “3/10”

That level of chill would be very comforting if I were in an ER.

I work in emergency medicine and one part of our training was actually applying CATs (combat application tourniquet) to ourselves and our colleagues to learn how much pressure we actually need to put to completely block blood flow to the selected extremity (and how much that freaking hurts). It was some time ago but the pain I felt while having the tourniquet on me is still something I really vividly remember. Tourniquets save lives. Use them if needed. Make sure to write the time of application though, it's kinda important to know how long the arm/leg has been basically dead (without blood flowing). And NEVER remove the tourniquet yourself if you didn't get it on in training purposes. It needs to be removed in the OR by the surgical team to actually make sure the clots formed don't kill you.

127 hours is still an unbelievable story. The fact that he managed to cut his arm off and then survive is just mind blowing. I'd rather die under that rock than attempt this lol

I like her use of "uncomfortable" for what appear to be very painful situations.

If you want to skip straight to one of them... 1. "Casino Royale" (2006) - 3/10 [0:28] 2. "Anaconda" (1997) - 6/10 [2:43] 3. "John Wick: Chapter III - Parabellum" (2019) - 3/10 [4:55] 4. "Die Hard" (1988) - 7/10 [6:31] 5. "The Wolverine" (2013) - 1/10 [7:39] 6. "Squid Game" S1E10 (2021) - 6/10 [9:25] 7. "No Country for Old Men" (2007) - 8/10 [10:51] 8. "127 Hours" (2010) - 9/10 [12:44] 9. "Cast Away" (2000) - 7/10 [15:21] 10. "Buffy the Vampire Slayer" S3E13 (1999) - 4/10 [16:35]

You forgot to take into account that the scene with Wolverine. He regenerates blood, skin, muscle tissue etc. So for him to reach under the rib cage to remove something from his heart is not going to be an issue he will heal in no time. It was easier than breaking his own ribs to access his heart

17:35 Uncomfortable is an understatement. I have Ehlers Danlos Syndrome, so I get frequent dislocations and usually reseat the joint without assistance. I've learned what works and what doesn't. But not so much in the first few minutes, but after a qtr hour or so of a joint being out of socket it starts to become really nauseating. While you're numb and in shock it's quite easy to deal with, but once the endorphins fade it's a bad place to be. It took me years to learn not to over reach and stretch my shoulders too far, just because you can doesn't mean you should lol. In my experience though, dislocations hurt considerably more than broken bones. After dislocating my wrist and fracturing my scaphoid it was the dislocation that caused 95% of the pain, the day after once some of the swelling had subsided, I managed to pull my thumb enough to reseat everything else in the wrist where it should be and the pain receded to a background murmur. Breaks ache, dislocations are much more viscerally painful. As goes the clip, when I reseat my own shoulder I lift the affected arm onto a table with my other hand, then squat down so the arm is lifted above my head, and it usually shlups back into place. It tends to stretch everything out though so for a few months it'll be prone to coming out at a sneeze. After 3-6 months it tightens up and stays in socket unless I'm stupid and reach fast without thinking. I've cracked the cartilage in the cup of the joint though, so I don't know if that's why it goes in so easily from above for me. If I can't find something to raise the arm, then I use the other hand to try and pull it over my head like I'm a ballet dancer, but it's a bit more hit and miss. I had to do it like that in the deep end of a swimming pool once and I panicked and floundered quite a bit and got a mouthful of water before I managed to get it back in and swim to the edge of the pool. Disclocations suck, and I don't go swimming much anymore as I don't like breaststroke but it's the only kind of swimming that doesn't throw out one or other of my shoulders.

I can't believe they didn't include Paul Bettany yanking a bullet out of his abdomen in "Master and Commander: the Far Side of the World"! The scene where Stephen uses a mirror to operate on himself is fantastically done.

For the John Wick one, I'm surprised she didn't comment on the low light. What is it with films and shows nowadays where everything indoors has to be unrealistically dark? Especially in a situation like this where you'd want all the light you can get. And what little light there is is shining on the wrong side of the patient.

Wow! Jamie. I remember the days you were studying hard in medschool. Thanks a lot, because your videos helped me a LOT

I like that she did no country for old men, as a former EMT I really loved that scene. And in 127 hours in real life he really did use a small multi tool knife that wasn’t sharp. I’ve never had my Shoulder dislocated, thank goodness.

Jamie is lovely, bring her back for more.

"More damage that has to be fixed later" = Tell me you've never heard of Wolverine without telling me you've never heard of Wolverine.

Wow, wonderfully explained based on the scenario at the scenes👍👏

Aw....I was hoping she'd rate Mark Watney's(Matt Damon) self-surgery in "The Martian." That scene was intense. Also, John Rambo's(Sylvester Stallone) field surgery in "First Blood" would've been interesting.

She was so respectful in saying that Casino Royale is absolute bunk

That was brutal. Great episode! You guys seriously always choose the perfect person for these vids.

Probably the most strict rating system I've seen in this series xD. I feel like she had more thoughts that were cut for time

Next do: *_Time-Traveler Reviews Time-Traveling Paradoxes from Movies and TV Shows (2035 Edition)_*

Gee, what kind of medical expert is this? She didn’t even know Wolverine has an adamantium-infused skeleton and therefore had to go through his abdomen! 😁😁

Awesome stuff. But I don’t think she knows who Wolverine is. Lol

Her smile is contagious

Loved this! It would have been cool, if she had reviewed the scene in the Outlander pilot episode, where Claire puts Jamie’s shoulder back into place. It would have been a good comparison to the Buffy scene.

Omgosh it’s Jamie !! Woohoo👏

As a fresh civilian medic, this was nice to watch. The TQ, we had to have them applied to use during the program so we truly understand how tight it has to be, the first few mins, it's a very solid 9/10 pain but after awhile, you stop feeling anything.

A very good vid indeed! I do have one gripe, though: you didn't do the scene from "Master and Commander", where Stephen Maturin digs a musket ball out of his own innards. I DO SO VERY MUCH WANT your reality score on this scene!!

Was hoping to see the Master and Commander surgery scene in this. One of my favorite self surgery scenes ever!

Joke’s on the doctor, Wolverine’s rib cage is also made of adamantium (all his bones are), so he couldn’t cut through the diaphragm. Plus, he has a healing factor so he could survive, but cutting through the abdomen to the heart was his only way lmao 😂

Great selection of shows.👍🏽

Go Jamie! OG strive to fit fam right here rooting you on!!

I don't know why but this ER Doc is making my love parts tingle talking about stitching people up...

Casino Royale: "Yep, that part's pretty realistic. And that's realistic. And that's reasonably true. I give it a three!" Do you want the actor to actually be poisoned???

Nice video as always

Good point about self stitching, it’s possible with out local aesthetic. I had to do it once on my hand, the difficult part is getting the needle up through the bottom of the skin to complete a loop.

I put seven stitches in my lip using a mirror, bent sewing needle, fishing gut, and fishing forceps. So that is definitely realistic!

I would love to see her rate the scene in "Shooter" when he buys all his supplies at the store and fixes his wounds in the bathroom. And the scene from "A hitmans bodyguard" where Samuel Jackson extracts a bullet from his leg. 😁😁 Please good sir! Might we get another?? 😄🤩

Flatlined and still awake? WOLVERINE! I love you Jamie!

She missed out on the "Master and Commander" scene from which the doctor was accidental shot by the royal marine officer in the abdomen. Since the doctor was the only medically qualified person on board he had to carry out surgery upon himself to remove the metallic ball shot.

That was enlightening 🙂

Too much time for fictional Wolverine, which is a superhero and self-healing and almost immortal.

Bravo doctor and all around the world

She clearly doesn't know how Wolverine is a comic book character that has self healing ability and an adamantium/vibranium skeleton. He had to go thru the diaphragm bcos he couldn't cut thru his ribcage.

In the casino royals scene, it could be said that what he actually used was black pepper with water and that is known to cause nausea/vomiting on an empty stomach because it lowers the stomach pH even further and therefore induces retching under the right circumstances.

@9:19 - That is actually the only way to do this on Wolverine. You cannot go through his rib-cage because of the metal.

Emergency tracheotomy tv's favourite surgery.

This is one of the best series' on the web, hoping for them eternally.

The audio in 127 Hours was so good, A.R.Rahman ❤

Great vid

This lady is great! Her presentation style is PERFECT! She is so beautiful. It seems to me that her beauty comes from her soul; and from her soul came her skill, knowledge and wisdom which altogether led her into medicine, and her subsequent mastery of the art of the application of surgical medicine. If I was rushed into and ER, my life hanging by a thread, I would want this doctor to be working on me.

need her more

Yay top 168 comments. Love this channel. Thanks for the new video. Best to all.

Honestly, I can never think of a dislocated shoulder without thinking of Martin Riggs in Lethal Weapon slamming his shoulder into the wall to push it back in. It was done to show how "crazy" he was and but later became a tough guy thing, like in the scene with Faith.

I was hoping to see the scene from The Martian removing the antennae! Such a cool video series.

I was disappointed to see that master and commander wasn't on this list

Should’ve reacted to some Rambo movies, like stitching up himself or using that fire to heal his wounds

4:45: "Chest compressions! Chest compressions! Chest compressions!" - Dr. Mike

Cmoon he is Wolverine… he is not human :)

the adorable level from her is soooooo high!!

Such a pretty nurse - 10 outta 10.

In all fairness, John Wick was running out of time before he was officially excommunicated to get help from the doctor, which is why he ends up having to stitch up the rest of the wound himself. He's on the run, hitmen are after him, so obviously the scene is gonna be rushed and sloppy because of that.

I would have loved to see her review the DIY surgery in "Ronan".

ER Doctor: Yeah your heart is not in your abdomen Me: Hmmm fair enough

To be fair, you cant go through the ribs on wolverine because they're indestructable, so he had to cut though the squishy parts and would then just heal up once he got the thing that was killing him

On the 2009 Chilean earthquake all the windows were broken and ended up with god knows how many shards in my feet. Training was saying "don't pull them out" but my instincts overcame it.

I wish she had reacted to the martian, that always struck me as very realistic

It's such a doctor thing to call agony- or ya know, chopping your own arm off- "discomfort."

I was really hoping they would do houses self surgery!

I've performed minor self surgery before. I had a chunk of glass imbedded under my skin so I had to cut a little bit and pick the pieces out with a pair of tweezers. Then pour peroxide over the wound. Then wrap it up. It was in an area with low blood flow so I didn't bleed a crapload but still enough.

Excellent video and guest, aside from the Wolverine segment. Wolverine's bones are coated with adamantium, so going through his rib cage / sternum to access his heart isn't possible. He had no other choice than to go below it and reach up, and his mutant healing factor is the reason he's able to survive or stay conscious. That said, she's right, it IS totally unrealistic.

I dislocated my knee and ankle sametime while in cabin no way to get to hospital. Got both back in place alone. Was tho really painful.

As a security guard (side job to support being a musician aha) I had to do the stitch by by myself at 5:25... thankfully not where an artery was, just a patch on my forearm after being stabbed in a liquor shop robbery gone wrong. No time to get to the emergency department at hospital... and I could've been waiting 2 hours or more. So I got stitches from a family friend and did a running stitch myself. Yes, I've had professional medical training, more than just first aid. So a 3/10 score she gave him is a little harsh from my perspective. I think a 5 would've been fair. I do concede that Mr Wick was stitching up a wound near an artery and using a mirror. I didn't do that. It was one stitch that I used though, as I was losing a lot of blood by the second....

Cool education 👍

Being a skateboarder, I've separated my right shoulder twice as well as my right hip. It definitely hurts, but one time my friend actually kinda drop kicked me and it popped back into place. Still sore but like 2 minutes later it was okayish. It sucks, but similar to being knocked out, once it happens, you kinda know what to expect. Ironically I never broke a bone but was once told it would have been better the bone in my left knee broke rather than tearing every ligament as I did.

Lol did anyone tell her who Wolverine was before they showed her the scene? No need to worry about fixing damage later when your body automatically heals itself in a few moments. She's absolutely right in her analysis by the way, but didn't factor in that he was a nearly immortal mutant. Also he used a giant metal blade that popped out of his knuckle to cut himself. The whole scene was preposterous. Seriously though great job, Doc.

I tend to do my own minor surgeries when needed. I always use running stitches because I can do them with one hand, or I just cauterize. I've also used a dremel to grind off one of my toenails because it had gotten fungus under it. I also had to use my dremel to cut part of my finger nail off when I slammed the center of it into the bone so I could extract it. My pain tolerance is just ridiculously high at this point, But I still don't know if I could cut my own arm off.. That is one of those situations where you can think and ponder all you want, but you will never know what you would do until it happens to you.

Context! Wolverine was able to do his own surgery because as soon as he removed the invasive robot from his heart, his injuries would heal in seconds. The tiny robot was preventing his healing factor from functioning.

Fascinating, even though watching all of this back to back made me very uncomfortable. Though... if I had to chose between cutting off my hand and taking out a tooth with a skate, I'd have to sit down and think for a bit.

My grandfather always said that the first thing to do after having any kind of wound or burn was to just run it under clean water... Glad to hear such a simple thing is still considered so safe.

that scene in 127 hours lives rent free in my head until now, i rather rewatch that caesar op in prometheus than this

did she really give Wolverine a 1/10 for saving his own life

Do-It-Yourself Surgery - Thats a book title 🤔

They missed to Show her the scene in ronin with Robert de Niro and Jean Reno. Best scene and i would say, most realistic.

Wolverine can do all self surgery lol

dr jamie is an absolute dime. wow

I was always told to do chest compressions when after someone flat lines not shock them

I would have liked to see her reaction to the scene from Master and Commander in which Paul Bettany's character has to remove a bullet from his own body (being the only doctor on the ship).

Best self surgery scene IMO was Paul Bettany removing a bullet from his own chest in "Master & Commander".

Doctor Lee 😊

I once had a surgery done in hospital on my pelvis. En they forgot to burn down a tiny bloodvessel. After a few hours home I got a bad swelling and was rushed to the hospital by my parents. I was out of concious a few times. When they opened up the swellig they said I lost 4 liter of blood. I was really lucky to get out of there with no damage at all. They just burned that vessel and stiched the old wound with 40 stiches and took me for observation for a few hours until my blood was at the normal pressure. The point the emergency docter sliced al the stiches of the surgery down to get to the wound all the 4 liter of almost clocked blood came out and all went over him. He never saw that coming.

Kind of funny seeing the Casino Royal scene both being reviewed by this ED doctor and the poison expert.

Many years ago I was incredibly lucky with an injury that it didn't result in something FAR worse happening. I was rock climbing without a rope, and reached up to use a pebble as a hand hold, and as I pulled on it, my left shoulder popped out. I managed to stay, standing in balance while someone went to the top and rigged up a rope (Luckily, I was wearing my harness), and I clipped in and got lowered off. By then my shoulder had popped back in, but I certainly wouldn't have been able to complete the climb!

7:39 So from what little I know about heart stuff, they have to crack the ribs to get to the heart right? So our good friend here Wolverine with his extra milk strength bones that wouldn't be an option. What I would like to know is starting from the abdomen like she said would just be more work needed be a good decision if for whatever real life reason you couldn't crack the patients ribs? (Like maybe that disease that makes your bones brittle so cracking the ribs might just fully destroy them.)

9:00 its Wolverine, He's almost immortal

When she starts criticizing wolverine on surgery I died 😂

As a veteran and having to have CLS multiple times and regular tourniquet practice and you have to tighten it with all your strength and that person will yell, scream, and sometimes hit you it hurts that bad especially on the thigh because you’re trying to constrict someone’s thigh to the point there not pumping out blood. It truly takes all your strength for a tourniquet to truly be effective on a friend, family, victim, soldier etc. I’m sure most medics can truly say that tourniquets need to be done with the right procedures if not you can hurt the victim more than saving them.