Holy Friggin’ Crap

This is a link to a pretty horrific video from somewhere in the middle east ( I am guessing Lebanon). This dude attempts to dive into the water and comes up short. The scene is awful. The part I am shocked by is the scene in the ER at the end. I have never (and hope I never see) seen such a horrific injury. However, the ER doc in me immediately notices some glaring errors in management (presuming the guy is still alive – it looks like he is moving). Namely the ETT not attached to anything (no BVM or vent), the wonderment that they did not do a cric instead, the lack of C-collar, and the lackadasical behaviour of the doctors.Lesson here: DON’T DIVE FROM THIRTY FEET INTO ANY THING BUT A POOL.

27 comments to Holy Friggin’ Crap

  • Tiger

    That’s a huge amount of facial damage. Not that i was ever going to, but i’ll make a note never to dive that kind of distance (and if i do, make sure i’m somewhere that ensures i don’t completely WRECK my face doing it)

  • Pattie, RN

    I hope for his sake that he died quickly and with enough pain medication on board to make it tolerable. That appears to be an injury incompatable with life, even if it had happened at the front door of the best shock-trauma unit in America, and not in BFE.

  • Ooooo…that’s an image I’ll never erase! Could they move any slower?

  • anon

    I did hear a rumour that the two different scenes (at the accident and in the hospital) are actually from different videos and were just cut together.

    All the same, pretty horrific!

  • All I see is a grey box with the message:
    Cincopa user is out of traffic quota for this month. Upgrade your plan.

  • tracy

    My computer won’t upload the video…from the description and comments…perhaps that’s for the best…

  • tracy

    Warmsocks That’s the message i see too.

  • stacy

    Yeah! I only see the gray box with the message too!!! awww darn!! I probly don’t want to see the images anyway! Stacy

  • ERP

    I will repost it later via a different server.

  • ERP

    OK, it should be viewable again. Take your Zofran beforehand if you are squeamish!

  • labrat

    Uggh. I wish I hadn’t seem that :(

  • labrat

    ^ Um, seen, not seem ^

  • Liz

    oh. my. goodness.
    I can’t believe he survived long enough to get to the hospital. I’ll have to agree with Pattie, RN – I really hope they maxed him out on pain meds and didn’t inflict any additional pain.

    I’m NEVER jumping into a non-pool body of water again. ever.

  • ERPA

    I saw a similiar injury from an IED explosion in Iraq. We thought about a cric but with all the facial deformity the intubation is easy as you can see directly into the posterior phayrnx. I cannot believe the treatment of the patient in the ER if he was still alive and appeared to be gasping for air. I am sure they were just waiting for him to die.

  • Ramses II

    Isn’t it possible the movements were reflexive and not indicative of any awareness? Not to try to justify this treatment, but seems probable he was dead from the neck up already and the rest of the body was just catching up.

  • cynic

    Agree with Ramses, he was +/- Dead at the point of impact. All that was left was brain stem activity. That still does not justify the lackadaisical treatment provided.

  • No apparent line of sorts either. WTF. It’s like, hey, let’s just push his face around some.

  • Oh wait, on second watch saw the line in the wrist connected to something with a pressure bag.

  • Ire.

    ‘Trauma’ is a bit on an inadequate word for that. Yikes.

  • SumDood

    I saw a case of a guy who was feeling suicidal, so he shot himself in the mouth with a shotgun (not an easy thing to do). He survived, and somehow managed to shoot himself in the mouth again! He was far from dead. He survived with full mental capacity, and after getting maxillo-facial prosthetics to make him a new nose & palate, he tells anyone who will listen that suicide is not the answer.

  • Gert

    I coulda lived a lot of years without seeing that.

  • Elsi

    Next time, w/ something that horrible, maybe you could make it click to play not automatic play? Of course I did have to watch a while to see that.

    I hope no one let his family see him.

  • paul

    uhh… maybe they cleared his spine clinically? i don’t think nexus *technically* mentions mechanisms that make your face look like the cover of fangoria magazine.

  • Alisha

    Wow, that is some serious stuff. Holy crap. His injuries HAD to be fatal. But it looks like he is breathing :/

  • shit!!….i wouldnt have a 1% chance of surviving here in our casualty!

  • whitecap nurse

    So, it crossed my mind that this is a hoax of some sort but it looks pretty real. I think it is definitely possible that he dies shortly after this video. However, maybe he just ripped his face apart, his brain still works and he’s breathing on his own. I wouldn’t describe the medical folks as lackadaisical. We have no idea of their level of training. They are probably doing the best they can with what they’ve got. There is no point in putting a C-collar on this guy because that would require an intact jaw to do anything to stabilize the neck. The one guy is holding his head in a neutral position and holding his face together, sorta, kinda. Presumably the rest of the staff is hitting the phone bank to find the best plastic surgeon in the world, some higher facility to take this guy off their hands and the next of kin.

  • Ramses II

    Well, I’m no doctor (Don’t all great comments on medical matters begin with exactly those words? :p) but the type of blunt force required to tear his entire face in half would surely have also massively concussed his brain on impact. People do die from head impacts that aren’t sufficient to explode soft tissue.

    If something *cut* or *ripped* his face off (If he’d slid past the edge of the concrete dock, scraped his face off, and the flap was hanging from his chin) that would be one thing and the skull and brain could easily be intact, but for the skin to be bashed hard enough to crack and tear under the pressure absolutely has to have done some brain damage as well. IMHO.

    The fact that he was floating face down (ugh, that phrase has new meaning) in the video isn’t reassuring of the idea that it could just be a surface injury either.

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