- Saving lives when you're
a medical professional or a first responder makes sense. But how about when you're
an ordinary civilian? We're about to watch some
serious life-saving videos. Let's get started, peewoop! - [Paramedic] What was the
reaction, what was the trigger? - [Friend] She's not allergic to anything that's known, she's had some salmon. Have you touched anything, or? - I don't know, I haven't (slurs). - Okay, see, the way that she's talking, right away, we have to know
that her airway is closing. So you have to act quickly. There is no use trying to figure out what this
person is allergic to. The only important thing
is to recognize the ABC's of first response and in this case, the
airway's being compromised. So you have to act quickly with that epinephrine a.k.a an
epinephrine autoinjector like an EpiPen. - My tongue is (slurs). - That's it, the tongue is swelling. You gotta make moves. You have to act quickly here. This is like when I was on the plane and the pilot's like, "Do we have an hour and a half to go back to Canada or an hour to go to the Portugal Islands?" No, we don't. - [Paramedic] So we'll go half a milligram of adrenaline, Salbutamol please. Eventually, some hydrocortisone
as well, all right? - So they're also giving her
some steroid here as well. A steroid reduces inflammation. But the first thing you wanna do is get that epinephrine on board. That's what's gonna open up the airway. That's what's gonna actually
constrict the blood vessels to increase blood pressure. 'Cause part of an anaphylactic attack is not just your throat closing, it's blood pressure drastically dropping. - [Paramedic] So, Tami, what you're having through that nebulizer is what we give to asthmatic patients to
open up the airway, okay? - Remember, patients who are experiencing anaphylactic attack, feel very uncomfortable 'cause you can experience
gastrointestinal distress, vomiting, low blood pressure and then when you get the EpiPen, you're still not out of the woods. You're still very uncomfortable
and your heart's racing. Now you got a dose of adrenaline. (Tami murmuring) - [Paramedic] Sorry? - [Tami] My tongue is just
getting really swollen. (machine beeping) - [Paramedic] Sorry? - My tongue!
- Your tongue, okay. All right. - In a lot of situations like this as well, it's very important to have a good line of
communication with the patient because what they may be
experiencing or thinking that they're experiencing is not what they're actually experiencing. I'll give you an example. When I was on the plane, after the first dose of
epinephrine, the gentleman who was experiencing the
anaphylactic attack told me he thinks it's coming back. But after I directly observed his throat with my iPhone flashlight, this was the tools I'm using there, I actually saw that his throat
was just getting very dry because I gave him a
big dose of adrenaline which is one of the side effects. So his throat wasn't
actually closing up again. So it's important to directly
visualize these things as well as talk to the patient. - Are you feeling any better? A little bit. Little bit, good. Okay, so we've done something right then? - See, using humor to diffuse the situation
here is really powerful. He's not making her
the target of the joke. They're both together making
light of the situation in order to decrease that stress. Anything you can do to take away that anxiety will help the patient. - [Narrator] Doctors still don't know what caused her allergic reaction. - You know, in a lot
of cases we don't know. That's why allergy testing along with a thorough history
is really important here. There's even very unique situations where if you get a
certain type of tick bite, a lone star tick bite, you could actually end
up developing an allergy to red meat that you've
never had in your life which is what happened on the gentleman in the airplane that
I was fortunate enough to be on at the time to save his life. - [Narrator] 35-Year-old
mom, Tela Levy turns away for just a moment. 11-Month-old, Etan on the changing table. - On an elevated surface and in the presence of water like in a bath, you do not leave
your children unattended, no matter how quick you think it is. Even with dogs, I would
put in with dogs as well. - [Narrator] The baby begins
to roll, every parent's fear and then he tumbles over the edge. Out of nowhere, his older brother, nine-year-old
Joseph, catches him. - Wow, what a catch! Honestly, they gotta stop
doing SportsCenter Top 10 for a week and just show
this kid making a catch. - I just yelled, "Mom,"
'cause I saw the baby and I just ran and I caught him. - Yankees, sign this kid now! - I can't even carry him so I
don't know how that happened and I can't even run that fast either. - That's superhuman. It goes without saying,
babies falling, very dangerous 'cause they're developing
still, their organs. So very susceptible to injuries and drops. Remember, babies' bones are also soft, especially their skulls. So their brain is not as well protected as an adult skull. Okay, we have a child drinking
water, drinking water, drinking a lot of water, choking. Anytime you see someone reach
for their throat like that and is trying to talk but can't move air, that's a sign that someone's choking. In scenarios like this, for a child of this age,
you would treat them just like an adult, not an infant and you would start the Heimlich Maneuver. Some agencies do talk about doing five back
taps with the person bent over the arm and then start
the Heimlich Maneuver. You're gonna be squeezing
as hard as you can and you're gonna do that five times. Go back to the back blows until you free whatever
the obstruction is. Don't do this blind finger sweeping thing because that can actually
push the object further down. Instead, what you wanna do is try and visualize if you
can see whatever it is that's out in the mouth
and then pull it out. See, that's a child saying
they're choking right there. Oh, we got the Heimlich Maneuver. Perfect, good execution. Wow, got it out. (intense instrumental music) Wow. - [Narrator] Brock and Bodhi Schoff were being typical two-year-old twins, scrambling up their dresser to explore. - Oh no.
- But then suddenly, it tips over, pinning little
Brock under its heavyweight. You can see Brock struggling and screaming but Bodhi jumps right into action. He immediately tries to push the dresser but can't get it to move. Finally, with a big lean,
- What is he gonna do? - [Narrator] He tries
to push one more time and somehow manages the strength to move that large dresser and free his brother. - That's why with a lot
of furniture items like that, you really should be
securing them to the wall. In fact, a lot of them do say that you should secure them to the wall in their instructions and that doesn't just go
for a furniture like that, but also for heavy mirrors as well too. - [Narrator] Mom says as soon as she saw that video, she bolted
the dresser to the wall to make sure it won't happen again. (child screaming) - Oh, what is that? - [Narrator] This five-year-old girl had her own scary encounter
with a wild animal. A raccoon latched onto her
leg and wouldn't let go. - A raccoon's problematic, being mammals, they can
be exposed to rabies and therefore transmit rabies. - I grabbed it by the scruff of the neck. It was growling, it was snarling. It's a rabid raccoon, get in the house! - A lot of times we'll think
that a raccoon is rabid when it's starting to come out during the day, exhibiting uncharacteristic
behaviors like going up to people because they
usually don't do this. They kind of run away more often. - [Narrator] Out of an abundance of caution, mom and daughter
have gotten rabies shots. - If you've been exposed to rabies or even you think there's a
possibility you've been exposed to rabies, generally, what we do is something called
postexposure prophylaxis, which means something like 15
minutes of washing the wound then getting the rabies
vaccines on specific set days and then in definite confirmed cases and in severely endemic areas, you wanna be using immunoglobulins
or monoclonal antibodies. - [Narrator] It's a family crisis that's unfolding in real-time. But the little guy's parents, John and Jane Kohler, quickly
realize this is serious. - He was turning blue. - Cyanosis or turning blue
is one of the danger signs that not enough oxygen is moving. And with babies, you
wanna act fairly quickly, but at the same time, stay calm and deliver those same back blows that we just talked
about, the back thrust. But with a baby, you wanna hold 'em down so their head is lower than their body. By doing this, you're
actually allowing gravity to help you free the obstruction and then you do the same back thrusts. Now if that fails, then
you do the opposite. You flip them to the opposite side. Now on their back, head is still below and then you're gonna be
doing the Heimlich Maneuver with them laying on your arm. You don't want to do a
full Heimlich Maneuver on a child less than one year of age because you can cause damage
to their developing organs. - [Narrator] Panic erupts. - [Jane] (shrieks) Someone call 9-1-1! Oh, my God, my baby! - All right, so again, the mom is in a very stressful situation. The goal here is to say, "You call 9-1-1," not "someone" because
then everyone else assumes that someone is gonna call 9-1-1 and no one ends up calling 9-1-1. - [Narrator] Major Hilliard had a device in his car called a LifeVac, which he suctioned to
little Gabriel's mouth. After several plunges of
the device, a miracle. - Soon as I did that last
pull, his eyes popped open and he started gasping for air. - [Bystander] There it is. - [Narrator] Mom and
dad embrace in relief. - So it's interesting, this LifeVac and other devices like it
have kind of been going viral on social media. The DeChoker is one that I saw as well. The major organizations like the ones that do first aid have not sort of started recommending them because there hasn't been
good quality, rigorous trials to show that they're more effective than traditional back blows
and the Heimlich Maneuver. In situations like this, all the major organizations
are still saying, "Use the traditional methods." I'm curious when the government or some agency is actually gonna put money in this to make sure that we can find out if
these devices actually work. Because if they do, we
should have these devices in every restaurant. - In 2019, this friendly pickup
hockey game suddenly turned when one of the players collapsed from a massive heart attack. - Oh wow. - [Teammate] Call 9-1-1! - All right, call 9-1-1, good first step. You gotta nominate someone. - [Narrator] A player
from the opposing team then took charge. As luck would have it, he was
an emergency room physician. - [Doctor] We got a defib
here, got a defibrillator? - Yep, the defibrillator
is very important here. The defibrillators we have in most of these scenarios
are automatic defibrillators where you just attach 'em to the chest and they will automatically
read the rhythm and tell you if this is a
shockable situation or not. - [Defib] Shock advised, charging. Stay clear of patient. - We administered that shock and administered a little bit
more CPR for another minute and a half and he started
breathing on his own. - That's spontaneous
return of circulation. That's really exciting. I mean if you're gonna have
a cardiac arrest, having one around an ER physician is the
person you wanna be around. The sad part about cardiac arrest is that the majority of them
happen outside of the hospital and as a result, there's
not enough people trained in CPR or know how to perform CPR. This is why I'm working with the American Heart Association to get these kiosks put
all across the U.S., in airports, science museums, where you actually learn how
to perform hands-only CPR with me on the screen, check this out. - [Reporter] It may
have been the whole crew behind this nearly impossible
mission back in 2009, but it was Jason Ogelsby
who dangled from a crane and pulled Patty Ralph Neeley to safety. Her boat had capsized
along the Des Moines River. Her husband died, she was saved. - You know, it's very possible that you may be an
individual who finds someone who's recently drowned
and they're unconscious. In those situations, you wanna start chest
compressions right away. It's ideal, actually. And a lot of agencies do advise to do two rescue breaths before starting the chest compressions in a drowning victim scenario. Remember in most cases, you're actually not gonna
have that much water go into the lungs. The larynx can actually spasm,
preventing a lot of water from entering the lungs and the small amount that could have gone into the lungs, can actually get absorbed into the bloodstream. So it's really about
getting that heart to pump and it's pumping artificially 'cause you're physically pumping it and circulating the blood that's still potentially,
having some oxygen in it. And obviously, calling for help is the number one thing to do. - [Reporter] Little Mason
Lindeman was playing in his driveway with friends when the pitbull escaped
from a neighbor's home and attacked, clamping his
jaw down on the boy's head. - That's so dangerous, so
much bleeding can happen, so much disfigurement. - [Reporter] Suddenly, a
hero comes to the rescue. The teen who heard the
boy's screams runs right into the path of danger. Watch as he deliberately
diverts the pitbull's attention. Now the dog goes after him, giving the six-year-old
kid a chance to run home. The hero neighbor is also attacked when he loses his sneaker
and falls to the ground. - In a situation like
this, you gotta roll up into a ball, protect your vital organs. Remember if you get bitten in the carotids, if you get
bitten into the stomach, that's where a lot of
bleeding's gonna happen. But if you roll up into a ball and most importantly, make fists so that your fingers can't get ripped off, you decrease the likelihood
of very severe injury. If you are witnessing someone
do this, the common thing that's taught is the wheelbarrow technique where you lift up the dog's back legs. It's used more to break up dog fights between dogs, not dogs attacking humans, but that could be done as
well, making loud noises, shooting water, all
these things are options. Just make sure you don't
put yourself in danger and never put your hands or fingers in between two dogs that are fighting or a dog that's attacking someone else. 'Cause what's gonna happen is, your fingers are gonna
get very, very damaged and that's dangerous. Afterwards, for a child like
this, you wanna make sure that they're okay from a
psychological perspective, a circulatory perspective, and that they're getting
antibiotics, tetanus and potentially rabies
depending on what you know about this dog. - [Parent] He's got a
bruise under here still. And he's got a small scratch there. - [Reporter] He also has
staples in the back of his head. - Staples are very common
to be used in the scalp. Scalp has a lot of bleeding as well 'cause it's highly vascular
so folks get very afraid. But usually, that area heals quite well. - I'm glad you're okay. - [Reporter] Grant suffered bite injuries to his hand while
fighting off the pitbull. - The dog was right on top of me so I tried to grab
his throat and it bit me. - That's why you gotta right away, curl up into a ball or punches. Fingers closed, 'cause
otherwise you will get bit. - [Reporter] The 28-year-old
woman seen Friday in this surveillance
video inside the lobby of the DeLand Animal Hospital says after two days of being assaulted by her boyfriend,
39-year-old, Jeremy Floyd, she convinced him to
bring her dog to the vet. Then this note, handed off to the vet staff, saying her
boyfriend was threatening her with a gun. - [Survivor] I slipped her the note and that's when I slid my glasses off to show her I had a bruised eye just so she would take me seriously. - First of all, you have to give credit to the survivor of this IPV and I go past calling it domestic violence 'cause it's really
intimate partner violence. We've sort of changed the way we refer to these things because
domestic means you live in the home and that could
be a parent, a grandparent. Intimate partner, is
someone you could just go on a date with. And violence doesn't just
mean physical violence. It could be verbal violence as well. - [Reporter] Then she saw an
officer through the window. First, a sigh of relief. Officers safely taking Floyd and his loaded handgun into custody. The victim, thankful the employees got her the help she needed. - These are terrible situations and so many factors go into them. Just even a patient sharing
that with you is really powerful and there's evidence to show that thanking a patient for sharing that with with you, goes a really long way. The way that I've sort
of been trained to think about this is an approach
of empathy, validation and then assistance. You wanna be as empathetic as possible. You wanna be understanding as possible. Then, validating that the
patient doesn't deserve this, that this isn't their fault, because a lot of times they've not
necessarily been brainwashed, but been misled to believe
that this is happening to them and it's their
fault, it's their problem. And then finally, offering assistance, not forcing assistance
because that can backfire for a whole host of reasons. And as medical providers,
we're also trained that if somehow the
abuser is in the office, in the exam room, et cetera,
it's best not to confront them and let the patient guide the situation unless there's imminent danger, of course. In that case, you're
calling local authorities. It's really all about making
sure the patient has resources and safety and a plan of action if they feel their
life is truly in danger. And if you yourself are a victim of IPV, I have links and resources down
below to get yourself help. Check out this video where a patient actually
filed a complaint against me. I think it's worth watching 'cause it's a good learning experience. And as always, stay happy and healthy. (mellow music)
