- We watched some
incredible medical scenes from "Bondi Rescue" in the past and you really enjoyed them, so let's check out a few more of the most extreme
scenes caught on camera. Let's get started. - [Narrator] At Southend, a young surfer suffers
severe stomach pain. - My question would be, "Is it post-trauma or is it just in the middle
of surfing and no accident?" - I was, (grunts) surfing and then I just- - [Lifeguard] Just try and relax. Yeah?
- Pain in my stomach. - [Lifeguard] Just out of the blue? - Out of the blue, gets me worried for some kind of
appendicitis-type picture, especially how gentle he's
being with his abdomen. If you're having some sort
of serious inflammation within the abdominal cavity,
that's called an acute abdomen. And during an acute abdomen, for example, if I have a patient try and jump on their heels,
it hurts way too much. They wanna keep that area nice and steady. - Now tell me, is it
definitely in the middle here? It's not on the right-hand side here? - It's a little, but yeah,
but mostly in the middle. - Yeah, but periumbilical
pain can be the start of an appendicitis because
the pain can start there and then travel to the right
lower quadrant afterwards, also known as McBurney's point. - It's a little bit to
the right-hand side, which may be his appendix, I'm not sure. But he's saying it's more central and just a little bit to the right. - That's enough of a sign,
you gotta rule it out. And not just ruling it out with the CAT scan, you need blood work to see if there's an elevated
white blood cell count, which could be a sign that
potentially, it's getting worse or it ruptured or there's an infection. - [Narrator] Lifeguards
administer methoxyflurane. - [Lifeguard] All right,
leave it in there. - [Narrator] Better known
as the green whistle. - This is an anesthetic, it's
a medication that is supposed to relieve pain for short-term, 'cause after about five or six breaths, you start getting the pain relief and it lasts minutes, not hours. You know, in a situation like this, it's kind of "eh," if you wanna use it. Ideally, you don't wanna give
strong medication to numb pain when you're trying to
come up with a diagnosis. Because imagine, you numb the pain and the patient thinks they feel better but the problem has not resolved, you can get into real big trouble. I would say err on the side of caution, sit with the pain a little
longer, get to the diagnosis before taking the pain medication. - [Paramedic] Hopefully, it's something that's really simple. (child screaming) - He's saying, "Hopefully,
it's really simple," and the poor kid's
screaming, get him help! Get him out of the beach. (child screaming distortedly) - [Lifeguard] His
excruciating pain was caused by a blocked intestine. - Wow, what? - [Narrator] After a night in hospital and a few days' rest, he's back at Bondi. - That's incredible. What gave him an obstruction? Was it an obstruction of his actual bowels or was it like a mesenteric ischemia? For those who don't know,
mesenteric ischemia is when you have a blocked
blood vessel in the abdomen. That is so incredibly painful. But also, an intestinal
blockage could be problematic. The only issue is if you
have an intestinal blockage, usually that comes with nausea, vomiting because the contents can't move forward. So I need a little bit more information to diagnose that case. - [Narrator] Dean attends Leo,
a 28-year-old Brazilian man. He's unable to move his arms or legs. - Oh my God. So in situations like this, what could happen is there
could be a spinal cord injury that can be causing temporary paralysis, quadriplegia of arms and legs. It could be a more serious injury where you have a full destruction of the spinal cord at a specific region, vertebral fractures, bony fractures. Or it could be just a
very severe concussion with a shock to the brain and
even bleeding in the brain. - Tried to go for swim, he
hit his head on the ground. (bystanders chattering) - [Lifeguard] Can you feel this now? (friend speaking in foreign language) - [Lifeguard] Can he move his feet? (friend speaking in foreign language) - No. - They should bring a proper
C-Spine stabilizer, a board, in order to make sure that you move him out in
the safest way possible without causing further damage. Part of what you wanna do, especially during traumatic episodes,
is to secure the environment, make it stable, make it predictable. Being on the beach is the
furthest thing from that. - [Paramedic] One, two, three. - [Narrator] A spinal
board will immobilize Leo on the way to hospital. - There we go, all the things
that we mentioned earlier. - [Narrator] The only hope is
that Leo's symptoms are caused by severe swelling and
not an irreparable break. - Based off the mechanism of injury, and you could predict a lot
from the mechanism of injury, it would be a low suspicion
for something that dramatic to have happened where you have a full spinal
cord injury destruction. Based off the mechanism of injury alone, I suspect he will get better,
but obviously, you don't know. And with those spinal cord injuries, that's very commonly the case, that you don't know how
well someone will recover until you give it time. - [Reporter] Surrounded by loved ones, the Brazilian dancer
started his journey home as a quadriplegic. Leandro will now have
to learn to talk, eat and breathe on his own again. - Oh, that happened. He must have had a preexisting injury and then something else happened, or it must have been a much stronger fall than it was described earlier. 'Cause just from a gentle fall, it's just so unlikely for that to happen. - Across the railing, a guy screams out, he says, "Harries, there's a
baby dead, up on the road!" - What? - [Narrator] Harries has
grabbed a defibrillator and oxygen kit. - Absolutely, and even the defibrillators have different settings and attachments, like the pads are different for pediatrics than they are for adults. Usually, children above the age of eight on most of these defibrillators,
are considered adult and can use the adult settings. But, an infant would not
fall into that category. We need the pediatric ones. - The baby showed no signs of
life, it was not breathing. - Not breathing, pulseless, you gotta activate basic life support, which means chest compressions
and rescue breaths. And chest compressions on a baby are obviously, much different. Yeah, you're pushing with
fingers as opposed to two hands. - [Narrator] The baby
has reportedly fallen on its head from a height,
but it's unclear how. (somber music)
(paramedics chattering) The patient is an eight-week-old boy. Resuscitating a tiny baby
presents major challenges. - Absolutely. - [Narrator] Lifeguards must urgently administer manual CPR. Lifeguards decide to ventilate the baby with a bag mask and oxygen. - Which is the correct protocol. - I started to see the rise
and fall of the baby's chest. "Oh my god, this is so, this is working, this is effective, what I'm doing." - That doesn't tell us
everything in that moment, because if you're bagging the baby, you're manually inflating the lungs. It doesn't mean the baby
is breathing on their own. If you're no longer squeezing the bag and the baby's chest
is rising and falling, that's a good sign. I hope that's what he means. - After around the eighth, ninth breath, (intense music) (baby crying) I hear the baby, cry. - That's a reassuring sound. (baby crying) - To hear this baby scream, was just the greatest moment ever. - What's interesting about a baby's skull, especially newborns, is they have areas where you can basically
touch through the skull. They're called fontanelles and
they take some time to close. So in a situation like this, when a baby falls, it could be
so devastating if it happens to fall in one of these areas. And in general, the head
is a little bit softer. It's not as strong and
hard as our heads are. Ours, as adults. - [Narrator] Not long after, lifeguards get news the baby is likely to pull through without
major complications. - Amazing, don't know how they know that the baby has no major complications from a developmental standpoint, given that it takes some time to show, but at least out of the woods acutely, in the short-term. - What I saw next just you know, absolutely
shocked me to the core. - Oh no. Oh no!
- Let me get her out! Hello! Shoot! - [Narrator] The woman is
unconscious and not breathing. - Unconscious, not breathing in the water is a really bad sign because you don't know how
long they've been there. And if they've been there too long, their brain has been deprived of oxygen, that can cause serious
lasting brain damage. - [Narrator] The situation is critical. - Two or three pumps, the
first thing you gotta do is get the DFIB. - When you're getting a
person out of the water and they're unconscious, you
wanna start CPR right away. And unlike the CPR that
we recommend on the street where we just say, hands-only CPR, here, you are giving rescue breaths. - [Narrator] Further out, the situation has become much worse. - I just saw a person face down, just lifeless and face down. - Oh no.
- The man and the woman are from the same family. - Remember when you're also
a victim of drowning, a lot of people think that there must be so much fluid in the lungs. There's actually a reflex
that protects our airway and prevents a lot of fluid
from getting into our lungs. And even the small amount
that does make its way into the lungs is eventually
absorbed through circulation. So a lot of people think that
their lungs are full of water. That's not usually the case. - To have two people
unconscious at the same time, I've never seen that in my
lifetime of being a lifeguard. - Is there no faster way to get them back to land than just pulling
them on a surfboard? - [Narrator] It's been three minutes since the pair were found, face down. The human brain cannot
survive without oxygen for much longer than six minutes. - Yeah, it can survive. It just starts becoming incredibly damaged and you start developing what's known as anoxic brain injury, without oxygen, anoxic. You could tell she's already
cyanotic, she's blue, that means she's not breathing. - [Narrator] Four and a half minutes after Odbjerg was first found, Singlets begins the vital compressions. Kerrbox prepares the defibrillator. - And you notice, he's drying her. That's an important part
of using the defibrillator. - Odbjerg's heart rhythm is in flatline and she can't be shocked. - Yeah, so flatline is
not a shockable rhythm. That's why so many
times on Grey's Anatomy, when you hear (hums), and
the patient's flatlined, they run to get the defibrillator, that's not what it's for. In a situation where you have flatline, you give chest compressions then you can give
medications like epinephrine. - [Narrator] 15 Minutes after the pair were found, face down. - How many patients you got? - Two. - [Narrator] The prospect
of successful resuscitation is becoming less likely by the second. - I can't believe it takes 15
minutes for first responders with medications or ACLS,
advanced cardiac life support to get there, that's a
really long time to respond. - [Narrator] Paramedics fit an ECG machine to Odbjerg, hoping to
identify electrical activity in her heart. (intense music) - And then outta nowhere, he said, "Uh, hey boys, I think I'm getting a faint
electrical activity there." Next minute, you know, we
heard, "We've got activity, there's a pulse comeback." - Well, you don't judge whether or not a patient has a pulse
based on electrical activity. 'Cause there is a condition called PEA, which is pulseless electrical activity where it looks like on the monitor that someone has a normal pulse. But unless you fully feel it and feel the heart beating,
that might not be real. - [Narrator] With their sister
revived, family members turn to their brother-in-law. (somber music) But after 30 minutes of CPR- - That's a long time. - [Narrator] Paramedics call
an end to the resuscitation. - Wow, I can't believe
they caught that on camera. - I was just sitting in the
tower watching the water and we got a knock at the door and she said, "Uh, hi,
you rescued my sister." And I was like, "Oh, I'm so sorry." I just said, "How is she?" And she's like, "This is her." - For me to see her with life in her body and life in her eyes was incredible. - That's amazing that they
were able to bring her back and she felt good that quickly. Remember, this is a healthy person experiencing this situation due to unfortunate
situation within the water. But in reality, when this
happens in hospitals, when someone is already really sick or maybe even really frail and then they undergo chest compressions, potentially breaking ribs
causing internal bleeding, when we revive them because they actually
were clinically dead, when we revive them,
they oftentimes are not at that same baseline they were before, 'cause they weren't healthy to begin with. They were already frail. So that's why I want folks to know that even if we resuscitate someone, it doesn't always mean
we're out of the water. Especially in a situation like this. Please never show these
TikToks to your doctor. Click here to check them out. And as always, stay happy and healthy. (upbeat music)
