- Bondi Beach is one of
the most popular beaches in Australia. Bondi Rescue is a reality TV show that covers some of the drama
that goes down on the beach. Here are some of the most
wild medical emergencies that have happened on the show. Beewoop! - Get him outta the water, ready? And then we'll start and
compressions up here. - All right, super important here, getting people obviously
out of the water for safety, everyone's safety is of utmost priority. Calling for help is the
number one thing you do. You don't just yell it, you point to someone
and say, you call 9-1-1. Otherwise, everyone assumes
everyone else calls 9-1-1. And, I know I always say start
chest compressions first, but for drowning victims, you do two rescue breaths
first, mouth to mouth. 'Cause the mechanism of why
someone's heart has stopped and they're not breathing in the water is very different than
what happens on land. - Okay, okay, who's doing, I'm going, I'm going, I'm going. - One, two, three, four, five, six, seven, eight, nine, 10. (inaudible cross talk) - Good depth. Two inches deep on those
chest compressions. Good speed, 100 beats per minute. - 19, 20. One, two, three, four, five. - All right, so the
fact that he's vomiting means, right away, you
have to turn him over onto his side in order to
help clear that airway. In drowning emergencies, it's truly airway, breathing, circulation. Like, you have to focus on the breathing. When you find someone on
the street who's collapsed and heart has stopped,
you can do hands only CPR. But here, you have to
think about the airway. Let me explain the
difference here, actually. This is important nuance. When you find someone on the
street and they've collapsed, their heart has stopped beating. But, they've recently just
oxygenated their blood, so there's still some residual
oxygen left in the blood throughout the body, even though
it's delivered most of it. So, as you perform hands only CPR, you can circulate that blood and deliver that remaining oxygen. When someone has drowned, they usually have no oxygen reserves, therefore are very hypoxic in their blood. Doing hands only CPR
does them a disservice, instead of giving them
some rescue breaths. Also, a lot of people think that the lungs get filled up with water. The airway actually clamps itself off and prevents water from
going to the lungs, and whatever small amount of
water gets into the lungs, actually gets absorbed systemically. So, it's really about
getting oxygen in there as quickly as possible and
pumping to help the heart pump that blood throughout the body, by actually squeezing
the heart, physically. - Can I get someone to
come up and get a defib? - [Narrator] The defib is in the tower, but Dono can't leave the
control post unmanned. - The defibrillator is
something that we use to check if the patient has
any sort of shockable rhythm. A lot of times in Gray's Anatomy, you'll see someone go flat line. They say, oh my God, get the
defibrillator, shock them. That's not a shockable rhythm. What happens is, the defibrillator actually
stops the rhythm of your heart, breaks that rhythm, and
allows it to restart. So, if someone doesn't have a rhythm, they're completely flat,
and you reshock them, you make it flat again, that
doesn't help them at all. At that point, it's more about
doing the chest compressions and giving them medications to advance cardiac life
support, like epinephrine. - [Narrator] He's now been clinically dead for three minutes. - 21, 22, 23, 24- (inaudible cross talking) - And the way you're
doing this is 30 pumps for every two breaths. So you do 30 pumps at a
speed of 100 per minute. Give two breaths, continue. - [Narrator] It's critical that no one touches the man's body
while it is shocked. - He's my friend. - I know you can't touch him. - [Responder 1] Don't touch him. - [Responder 2] Don't touch him. - [Responder 3] Don't touch him. - [Responder 1] You'll get electrocuted. - [Defibrillator] Check
airway, check breathing. If needed, begin CPR. - So the modern
defibrillators are really good in that they analyze the rhythms and you don't have to look at the rhythm and try and figure out what's going on. It will say non-shockable
rhythm, continue CPR. Or shockable rhythm, remove
all people from defibrillator. Then you hit shock. It says shocking on three.
Shock, shock, shock. And then it'll deliver the shock so that you know not to
be touching the person. - [Responder 1] I've got
a pulse. I have a pulse. - [Responder 2] He's back,
he's back. He's responding. - [Responder 1] Let's go. Let's go. See if he wants to vomit. See, he's got a lot of
fluid coming out, huh? - [Responder 2] That's
what we want. That's good. - Don't keep bagging him. If he's conscious and he's breathing. I know there's a lot of
stuff happening right now, but you could actually
force some of that vomiting aspiration back into the lungs. You don't want to do that. (man retching) Put him on his side. No, take the ambu bag off. (clapping) He's still not out of danger yet. Everyone stop clapping
like you just watched a Jerry Springer episode. (clapping) He was without oxygen for
a long period of time. And that guy keeps putting
this stupid ambu mask on him. Stop it. He's awake now. - [Narrator] Portuguese
Man O' War Jellyfish, commonly known as blue bottles, are blown onto the coast by onshore winds. Blue bottles have rightly earned
the label, floating terror. - I've seen thousands of
people that have been stung by blue bottles, but this day, it was the biggest welt I've ever seen. - Oh. Yeah, they basically leave
like whiplash looking marks on your skin, creating
a type of dermatitis. It's actually really
cool how this happens. So they have these nematocysts that are at the end of their test- Testicles. (laughing) Tentacles. When they hit you with
them and they touch you, they actually attach to your skin, and then inject the poison in. And there's been some evidence that putting vinegar onto them can actually help deactivate that venom and those nematocysts. - [Narrator] Nine year old Zach has suffered a blue bottle
sting over his entire leg. (Zach screaming) - Zach, that's enough, enough. (Zach screaming) - All right, dad, maybe
give your son a hug. Like there's toughening your kid up, but when they're experiencing
real big pain, give him a hug. - [Narrator] Zach's father
is back on his feet. As lifeguards administer
the green whistle. - What you gotta do is, you
gotta put it in your mouth like this, all right? And just breathe it in. And it's gonna take the pain away for you. - The kid's like, give me it! - There you go. - Oh, wow - Good man. - Huh? The sweet sound of silence. (Mike laughing) - These lifeguards are like,
"can you shut this kid up?" They got the kid high and he calmed down. (static crinkling) - I'm really allergic to peanuts. - Oh no. I hope she's not
having an anaphylactic attack. - [Lifeguard] And have you had
an allergic reaction before? - Yeah. - [Lifeguard] Is this what you felt last? - I know this feeling. Yeah. - [Narrator] Left
untreated, Victoria's throat will become so swollen, she
may be unable to breathe. - This type of allergic
reaction, called anaphylaxis, actually leads to
swelling of the air pipe. It also can create swelling of the mouth. It can lead to nausea,
vomiting in some cases. And one of the most dangerous
things about anaphylaxis, outside of closing your throat, is the major drop of blood pressure. 'Cause it dilates your blood vessels, therefore tanking your blood pressure, not getting enough blood
circulation to those vital organs. It can potentially lead to death. This is why a lot of people think, oh just treat it with Benadryl. But Benadryl doesn't treat
that part of anaphylaxis. That's why we need to use these EpiPens to boost up the cardiac output and decrease the swelling
of the oral pathway. - [Narrator] Lifeguard's best
chance of saving Victoria is via a shot of
adrenaline from an EpiPen. - And I'm sure many of
you have heard the story. I've had to do something
like this in the air, while flying on a gentleman
who did not have an EpiPen. So we had to concoct the
EpiPen through medications that you would actually use
if someone's heart stops and they were flat lining. Same medication, different dosage. I had to do that calculation
kind of on the fly. There was no wifi 'cause we were flying over the Atlantic Ocean. It was a crazy scene. And also, this auto injector is nice and thin and small the needle. So it's not gonna cause
a lot of discomfort. The one that I had to use
is made for a crash cart. So it's like a really thick, long needle. And I had to jam it into his thigh. He was not happy with me, but he was happy after
the fact when he survived. - Thank you Dr. Mike, I really
appreciate your help, man. - So I hit her with the EpiPen, bang. Held it in for 10 seconds, and I thought that was gonna be it. Okay lay down sweetheart. There we go. You all right? Stay with us. You're all right? When she dropped on us, I was so scared. And I thought maybe this would be a resus. - I suspect what's happening here is probably a vasovagal reaction. When you get really nervous
that she essentially lost blood supply to
her brain temporarily, from seeing the needle go into her thigh. This happens quite often. In fact, the gentleman
after I injected him with the syringe, he started telling me that he thought his
throat was feeling weird and closing again. But when I looked into it, it
actually was completely open. I had to use my iPhone
flashlight to do so. I realized what was happening was because I gave him adrenaline,
his throat dried up. His mouth dried up like you would when you're giving a
speech and you get nervous. And as a result, he felt
like it was closing again, but it actually wasn't. So it was good that I
was able to check that and not necessarily stick him again with an unnecessary medication and needle. - [Narrator] Andrea and her cousin Gerald were taking advantage of
iconic Bondi as a backdrop for a rollerblading video, when things went horribly wrong. - Whoa. - Oh! Patella dislocation. It's actually really easy
to pop back in, but wow. Really all you do is you put pressure on the outside of the leg and
extend a leg at the same time, and then it just puts it
right back into place. - And I'm gonna just gently
manipulate your knee. - I mean, I like your wording. I know it's not gonna be gentle. (Mike laughing) - Keep breathing. - There you go. Extend and pressure,
pressure, pressure, pressure. A little more pressure. - And he rolled up. - There you go. And it's gonna pop right back in. There you go. It goes from pain level 10
to zero almost instantly. - [Narrator] A man's found
floating lifeless in the surf. - See that's sometimes
the worst situation. 'Cause you don't know how long
they've been under that surf. - [Narrator] Hoppo can't detect a pulse. - Then right away, two rescue
breaths, chest compressions. Let's go. - [Narrator] He's not breathing. - [Hoppo] Baggie. Come on, come on. Bagging. - [Narrator] Tucker is clinically dead. The machine reads Tucker's vital signs. - [Defibrillator] Do not touch
patient. Analyzing rhythm. - I can't get one. Start CPR. - [Narrator] The defib doesn't
work on Tucker first time. - Oh, much faster. He needs to go much faster
with those chest compressions. - [Narrator] The third shock
has finally had an effect. - It's getting stronger. It's a good pulse. Good pulse here. - When you get someone
back from having no pulse or no breathing, it's an amazing feeling. The adrenaline rush of it. - Yeah. I can attest to that. For them they're doing this usually on younger, healthy people. I'm doing this sometimes
on people who are older, who have a lot of medical conditions. They have a young healthy person who got really sick really
fast cause they drowned. Then they rescued them, they restart their heart
and now they're better. And they're almost like
back to normal real quick. For me I have to then now
stabilize that patient, get medications going, check their vitals, make sure that if their
blood pressure's too low, get them on pressers to artificially raise their blood pressure, get them admitted into the ICU, transfer them to a different team of care. But this is tough because you cannot control this environment. I have much more control of my environment when I'm in the hospital. - I stood on sea urchin. - Oh I don't know about sea urchins. - A sea urchin is a little sea creature with all these little
spikes that come off it and they kind of hide
in the rock crevices. - Oh! Dude. Why do people go in the ocean? Just hang out on shore. - [Narrator] Sea urchin
spikes, carry toxin and are extremely brittle. Like needles of fine
porcelain, they easily break. - And yet we tell kids go play in ocean! There's spikes with poison in there. Future generations will
look at us and be like, what's wrong with these people? - [Narrator] Jesse and Harrison start the delicate operation. - Oh man. - [Narrator] Removing
the spines one at a time. - Can they like numb him up? Give him a little lidocaine. Jesus Christ. - [Harrison] Oh, look at that one. - Ah! Look at that one! - Drink. Drink. - I was told that he was
having low sugar levels. I've dealt with diabetics and
low blood sugar levels before. And I know that they need soft drink or they need something sweet to bring those sugar levels back up. - He could be hypoglycemic
as they're saying, cause those who are diabetic struggle to control their blood sugars. And sometimes they do drop, especially if they give themself excess medication by accident. - And then he pulled
out from around his neck that he also was an epileptic. - I mean just call an ambulance. Like I hate that they're
always trying to solve and figure out everyone's medical history. Clearly this person's
going through something and they need help. And you're not qualified to deliver that help at this moment. - Do you want me to call an
ambulance or anything, mate? - Yes. Yes. - So if you have an epileptic fit. - He's clearly having an epileptic fit. - What was your name again? What was your name again, mate? He's having an epileptic seizure. All I could do was hold his pulse and I was just basically waiting to see what would happen next. - That's actually what you
do during one of those. If they last over a certain period of time we can medicate them in the hospital but otherwise you just
have to let it happen. In fact, restraining them
and holding them down, can actually cause muscle damage. - You're all right mate.
You're all right matey. - It's okay. You're all
right mate. You're with us. - You're all right matey. - Post-ictal phase, which is
this time after your seizure is actually a very weird time for not only the patient,
but also for providers because patients oftentimes have amnesia and don't know what has happened. They don't know where they are. They sometimes can be
extremely aggressive. So, it's really important
that there's people there to keep them calm, explain what happened and diffuse the situation. I've had patients throw stuff at me. - Well I'm a type 1 diabetic. and what it does is it, lowers my sugar. So I can go into a hypo,
any time, anywhere. - A person with type 1 Diabetes is someone who has an autoimmune
condition that has resulted in the destruction of the
cells that produce insulin. So you do not have enough
insulin on your own to facilitate the sugar leaving your blood and going into cells where
it needs to function. So what ends up happening is
those patients need insulin, artificial insulin to
be injected into them in order for them to function normally. And sometimes if you don't
gauge how much insulin you're putting in, in
comparison to how much carbs and sugars you're consuming, you could actually cause
yourself to become hypoglycemic, have very low blood sugar,
which can lead to seizures. - [Narrator] With the crowded
surf full of beginners, it's only a matter of time
before the first collision. - [Lifeguard] That's sick. That's gross. - Oh my God. - [Narrator] Lifeguards won't attempt to put a severe dislocation back in place. - The only time we do a
reduction in the field, is if we see neurovascular compromise, meaning that there's not
enough blood circulation going to an area, and as a result, part of that area is dying. Then the risks may warrant
doing that procedure. Oh my God, is he gonna just pop it in? (gagging) What a champ. I can't even watch this. - [Lifeguard] Cheers for him. (cheering) - That's terrible because the hand has so many vital structures in it. Blood vessels, nerves. This is why we have
hand surgeon specialist. It's not enough to send someone
to an orthopedic surgeon. Send them to a hand surgeon. My guy's just here, like (grunts). - It's still slightly out. - Slightly out? It's broken my guy. - And I get over there, and there's a gentleman
sitting against the drain pipe, in a puddle of water. Quite calm at this stage,
saying he's dislocated his hip. - A dislocated hip could be one of the most painful things ever. - [Lifeguard] He's had a hip replacement. - Oh my God. They're not ready for the level of pain this person's about to experience. - [Narrator] Moving him to the ambulance will cause enormous pain. Paramedics administer morphine. - Yeah. - [Narrator] It's a bumpy
ride over rocks and sand before Danny reaches the ambulance. (screaming) - Yeah. He's not faking it - You all right? - [Narrator] Beau and Harries
help a disoriented man with a mystery ailment. - I don't know. I'm going to faint. - [Beau] Yeah? - [Narrator] His condition is
getting worse by the second. - You okay there mate? - [Narrator] Suddenly he stops breathing. - If he stops breathing, you
start chest compressions! He's not a drowning victim. - [Narrator] Eventually he comes around. - That's it relax as much as possible. - [Narrator] Lifeguards
need his medical history. - Well, they don't need
his medical history. They need to call an ambulance and they need his medical history. - I don't know. When it
gets cold in the water, it makes my skin go itchy and red. - Oh, he has cold water urticaria. - [Narrator] Later doctors
confirmed Matt suffers a rare allergic reaction to
cold water that causes hives. Matt's swim had sent him
into anaphylactic shock. - Well, an EpiPen would've
gone a long way there but they couldn't have known that. You don't recklessly just
give EpiPens to random people. Here are some of the
worst fitness mistakes my patients make. Click here to check that out. As always stay happy and healthy. Look at my tail. (upbeat music)
