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zakruti.com » Knowledge, science, education » WIRED
Surgical Resident Breaks Down 49 Medical Scenes From Film & TV

Surgical Resident Breaks Down 49 Medical Scenes From Film & TV

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Rating: 4.0; Vote: 1
Annie Onishi, general surgery resident at Columbia University, takes a look at emergency room and operating room scenes from a variety of television shows and movies and breaks down how accurate they really are. Would the adrenaline scene from Pulp Fiction actually play out that way? Is all that medical jargon we hear in shows like Grey's Anatomy and House true-to-life? Is removing a bullet really a cure-all for a gunshot wound? Correction: We misidentified the type of worm in the Grey's Anatomy episode at 5: 23! It was actually Ascaris lumbricoides, not Strongyloides
Date: 2022-07-06

Comments and reviews: 10


Every time my aunt has had surgery she wakes up unable to move but can hear & feel everything. She said she doesn't feel actual pain but lots of uncomfortable pressure & she said its terrifying because she can't communicate that she's awake. Every time she has had surgery she tells the anaesthesiologist & doctor about waking up & they all assume the previous 1 did it wrong & tell her she's be ok, they wont let her wake up only for her to wake up & nobody knows until she's not paralyzed anymore & nobody believes her that she woke up until she tells them everything she heard, their conversations, music, phone calls etc, then they're shocked. Because of my aunt's experiences, whenever i've had surgery i've told them not to let me wake up during surgery, that's my biggest fear, last time i had surgery, the anaesthesiologist told me she'll have things attached to me to watch brain activity & she'll know straight away before i even do if i start to wake up. I have no idea if they monitored brain activity with my aunt, but i'm guessing they didn't.
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The statement that 200 joules is an outdated dose is wrong and ironically outdated itself. 360 joules is the energy used for mono-phasic defibrillation. The AHA ACLS guidelines recommend more modern bi-phasic defibrillators, that use 200J (or even less.
And about the Bond scene: True, defibrillation is only used in VT/VF. But cardioversion (which is basically a well timed, lower dose defibrillation) is something that Bond could potentially do on himself.

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I was in the emergency room experiencing major ventricular tachycardia and noticed that every time I woke up, I'd see the doctors looking at the monitors and writing in a their notepads- I thought they were keeping some kind of score. and I asked them who is winning the game, and they looked at me and said, not you at the moment.
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In primary school when our biology teacher saw someone chewing on their pen she would hand out pictures of worm removal like that scene at 5: 00.
If someone thinks the amount of worms in that scene is exaggerated, then you definitely wouldn't like to see those pictures I saw when I was a kid.

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I understand she is a surgeon and in this clip early on in her career, but if a patient has strongyloides (worms, wouldn't you first treat them with dewormer before performing surgery? And what is wrong with a 12 French endotracheal tube? The size sounds about right for me.
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Really wish I was able to tell you a story directly about, an incident that occurred while I was having disc replacement surgery. If you do ever see this which I doubt reach out to me I'll be happy to tell you cuz it was unnerving and hilarious at the same time
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Re: the amputation in RfaD, I always thought that standard procedure with amputations was to get the flesh out of the way with knives first to better expose the bone, before the saw was brought into play.
Any medical folk who can confirm or correct me?

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TV medical shows have gotten extremely graphic of showing wounds, and bodies being operated on. There was time you couldn't show blood. Then you could show blood on MASH. I love watching HOUSE MD because they'll show some of the gory details of an operation.
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I like how she says: -Operating galleries did definitely exist, because people put them in paintings-. Does that mean that in a few hundred years people will say -Operating galleries definitely exist because they show them in this Seinfeld tv thing-?
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I am a little confused with her vtach comment. There is stable VTACH that is a perfusing rhythm that is still really bad. Also SVT, but she wasn-t talking about that one. But those two rhythms might need electric and the patient can be conscious.
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