Added: 9 months ago
From: medicvideo
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  • Does anyone know if this man followed up with any kind of psychiatric/psychological evaluation/treatment? I'm just saying that if he was capable of doing this to himself once, he could do it again. Wow. Medicine is incredible.

  • did he survive?

    

  • @raptor700rbeast yes, he did, i hope he doesnt try kill himself again..

  • I searched re-constructed chin dude.......

  • It's just amazing what some doctors can achieve... Miracles surround us every day...

  • What are they doing at 9:20??

  • @07airforce Inserting a tracheostomy tube through an incision in the neck. The long breathing tube seen going into the face will then be removed.

  • duuuuuude.

  • That's some crazy shit

  • Why they're even trying to save this man's life is beyond me, there are too many other more deserving injured/sick people that should have been in that helicopter IMHO.

  • @Sin526 Why is it that you think mental illness (in this case leading to physical harm) is less "deserving" of treatment than more visible ailments? Is it because you're an ignorant piece of shit?

  • @Sin526 Actually, no there were not many other more deserving injured/sick people that should have been in that helicopter. There are 8 state police medevacs in Md. It has the most advanced EMS system in the US and the most respected trauma center in the world. No patients are more deserving than others and none are left behind because others are cared for. And the helipad can accept 3 helicopters at once and is the most advanced hospital helipad in the US including approach lights.

  • Was it a .410 or something. If it was 12ga it would have to have been a #7.5 or #8 target load. Anything more would've blown the whole front of this head clean off.

    I can't believe he kept his vision.

  • He is so lucky he got away with not only his life but a lot of his normal functions. This team is brilliant.

    I have to ask, though. I've been watching a few videos of yours, and you've made some very educated replies. Are you a surgeon yourself?

  • @Spericksen My specialty is anesthesiology.

  • Comment removed

  • Where's the continuation video

  • It's interisting the way how the medical team care with such injuries, but I wonder why it's take so long time until the patient on ventral position! was intubed? From the place where he was shooted to the shok unit than take minimum 8 minutes maybe more!! Too much time! ABC Golden Hour,are americans notions . As european I'm estonished by this american video. It's seem as everybody loose their self control.

  • @debrouhns The patient was breathing on his own. He was placed prone since that was the only position where he could control his own airway. Had they paralyzed him and attempted to intubate in the field and failed he would have been in big trouble. Too much time FOR WHAT? He was stable the entire time. No one lost their self control. You have no idea what you are talking about. This is the finest EMS system and most respected trauma center in the world.

  • i wonder what he looks like after it heals

  • Did he survive?

  • @WarmBloodParadise Yes, he did survive.

  • must've been birdshot since he pulled it and it just blew his face off a slug or buckshot would've removed most of the front half of his head

  • How old was this man?

  • @countacolor Late 50's early 60's.

  • scusate ma fino all'arrivo del paziente in ospedale come sono state gestite le vie aeree? come mail il paz è stato trasportato in posizione prona?

  • @firemen86 Il paziente poteva controllare le sue vie aeree proprio in posizione prona.

  • what i dont understand is how did this guy not die from blood loss. im glad he didnt but his entire face is gone....how did he survive this?

  • @iBtRolliN20 "No large neck or brain vessel was involved..." in the desc

  • @iBtRolliN20 You're glad he made it? Do you hate him or something?

  • @Zencrow101 No he was not.

  • He screams when they roll him over. Damn

  • @seanofthedead90 That is not screaming. As soon as he is rolled over a breathing tube is inserted into his lungs. What you hear is the air rushing out of the tube as the patient coughs. Immediately after the tube was in place he was put to sleep under general anesthesia.

  • @seanofthedead90 That sound was ghastly! e_e

  • «Drs should have let him die» : In medical term, this man is probably physically healthier and has better chance to live than someone with a septic shock or acute heart infarction (and i do not think you would want to let someone with heart attack die). So Drs should not let people live if they are to be ugly and physically healthy but if they are to be good looking and physically ill its ok? Strange reasoning isn't it? You can't trace a limit when comes the time to decide who live and who die.

  • this is damn hard case

  • Damn, poor man!  :(

  • omg doctors are amazzing to get this guy bck to well normall all i saw was mush i would of thought tis guy was a goner

  • For future reference, never put the barrel under your chin. If you want to do it right, put the barrel in your mouth and aim towards the soft palate.

  • where are his eyes??

  • @SPIDEYTHREAD His eyes are intact and in their normal position.

  • @medicvideo Holy fuck, so he could see after that? I figured he was like a blind mute. Did he try to commit suicide again?

  • when a guy shoots himself in the face with a shotgun you should let him die

  • How could live like this he can't see nor breath!? The only oxygen he has is through his mouth probably, this is very sad.

  • So is he still alive? This man is lucky. It's amazing how surgeons can completely reconstruct someone to keep them alive.

  • You must be kidding me!!!He died????

  • woe makes,me value my lifr!

  • btw.. doctors,nurses, hospital staff are amazing

  • how the hell do you begin to clean that up, jesus he was just a forehead!!!! fuck...i will not be shooting myself with a shotgun i tell thee

  • does anyone else hear the laughter in the background??

  • @AlypiusDC You might. The trauma center is a busy place with normal human interaction all around. I guarantee no laughter is present regarding this case. People that do this day in and day out do not find it funny....they take it very seriously.

  • @AlypiusDC theeres multiple times ive heard clear laughter

  • @dumbbuck7 You might. The trauma center is a busy place with normal human interaction all around. I guarantee no laughter is present regarding this case. People that do this day in and day out do not find it funny....they take it very seriously.

  • HOLY SHIT. i doubt this guy went home and lived a wonderful life after this. it was probably worse after then when it was when he shot himself.

  • you think thats bad? I JUST LOST MY IPOD!!! the fuck am i supposed to do now?!?!

  • Slick intubation! Great video!

  • Was there any prehospital airway management? Very good vid!!

  • @Jimthemedic Sine he was moving good air and followed commands, the only necessary, and the wisest, pre-hospital airway management was positional. He was transported prone which allowed the disrupted tissue to hang down keeping the airway clear.

  • YOUR FACE GODDAMNIT!

  • He has one hell of a testamony , when its time its time i guess..

  • Poor guy

  • let the poor bastard die

  • Is that him screaming at 6:23?

  • This is impressive if you read what he regained.

  • True those things are powerfol

  • Dammmm. It will make u think before u buy your next shot gun

  • @cameltoejeans No, it will make you think before trying to blow your own head off.

  • why the fuck would you let the poor guy live? i mean if i tried to kill myself is because i do not want to live anymore and it's my right to live or not. don't you think that after this the guy would feel more miserable?

  • @fellerredseller Interestingly enough, these attempted shotgun suicide victims seem to realize how much they actually love life afterwards. I don't understand it. Maybe they needed it?

  • This makes me want to write my papers upon severe injury resulting in something like this. Actually I'm going to tell my parents as soon as I can that if I get severly injured like this or get dependant on life support, just kill me.

  • @LillemanPr0ductions It of course is always an excellent idea to have a living will that expresses your wishes for being kept alive by artificial means. However, no living will commonly used would cover a traumatic injury like this. In an emergency, when you are not terminally or chronically severely ill but rather otherwise healthy except for a traumatic injury, your living will is basically meaningless. Once stabilized it may direct how further care progresses.

  • @medicvideo

    Intressting, thank you for sharing. 

  • I don't know if trying to keep this poor guy alive is an act of mercy.

  • dam, what an idiot, if your gonna commit suicide at least aim at your brain!! so instead of ending his misery he gets to live in far more misery for years to come. oh the irony

  • @cronicjointpain

    He aimed for his brain...

    but he flinched when pulling the trigger and pulled the barrell forward towards his face

    you could call him a pussy, but I doubt unloading a shotgun into your skull is the easiest thing to do.

  • @andrewdkirschner Safe to say he fucked up. No matter how bad his life was before, shit just got real.

  • @andrewdkirschner he aimed for his brain directly? or put it in his mouth or below his chin? just sayin if i were to commit suicide i would aim it directly at the side of my head and i realize he flinched but still if your gonna kill yourself do it right! and i didn't call him a pussy clearly if your willing to pull the trigger its not an easy thing to do, it just sucks for him, thats all! i mean thats gotta be far worse then death, to have to live with that in that condition?

  • Let him DIE god. What kind of quality of life is he going to have. Can anyone really say "oh the law this and that". The man was miserable obviously, how do you think hes gonna feel looking like that. I'm sorry but it shouldn't be a matter of "its not our job" it should be a decision on what his quality of life is going to be like.

  • @MeepullStewray That is HIS decision to make, NOT the medical staff's. As mentioned before more than once, he was in fact not dying so there was no 'let him die' in the first place.

  • @trythinkingnow He wanted to die obviously. Once he gets fixed up they're obviously gonna have him on a load of medicine and they won't let him finish the job even if he wanted too. He would've died had nobody intervened I figure but I'm not an expert in that regard. These are what I based that opinion from.

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  • E.M.T.s and medical personnel have a DUTY TO ACT.. and there are legal protocol against withholding medical treatment to someone for any reason other than if they specifically refuse treatment... it is also technically illegal to commit suicide.. as silly as this sounds, if someone tries and fails to kill themself, then they face criminal charges upon recovery...

  • meine fresse.... kann den niemand erlösen? er wollte sich umbringen, die beleben ihn wieder und sein leben ist noch beschissener als vorher

  • Just because someone wants to die doesn't mean you should just let them die. I don't know much about the medical committee or if they have a code of honour, but they became doctors to save peoples lives regardless of the situation at hand. No one deserves to says who lives or dies other than God. Doctors just try their best to keep you from dying.

  • what happened to that guy later, did he survive...???

  • I skipped through parts of the video, did they put him on anesthetic or something?

  • Was he avoiding the Rapture on May 21? He should have used 00 Buckshot to do the trick.

  • I'm sure it seems easy to imagine being angry if you were in the man who didn't succeed in suicide and survived because of those doctors, but what about putting yourself in the point of view of being someone with the power and opportunity to stop a man form dying.

    A chunk of people who attempt suicide might now truly want to kill themselves and the doctors have no way of telling if he's one of those people.

    He can go home and try again if he really wants.

  • I love videos as this :)

  • I stumbled across this on a gore site (injuries fascinate me, what can i say?), didnt expect youtube would host something like this.

    Regardless, what always impresses me about this real medical situation videos is the total calm the medical teams have in these situations. Its never the hectic chaos like you see in ER and hospital series.

    Professionals.

    Poor schmuck, though.

  • Everyone from Hunters to PETA members agree that if you come across a seriously wounded animal, the merciful and humane thing to do is to kill it quickly. Why would you not do the same for a person who not only has the will to die but is in unimaginable physical pain and will be disfigured for the rest of his life. This is cruel and inhumane. If I were him, and I lived due to the efforts of a medical team, I would sue each and every person involved.

  • @fmandwc2 #1. We are not animals. We do not 'kill people quickly' in our emergency rooms. Physicians and nurses do not decide who should live and who should die based on a 3 minute report from paramedics or police. #2. You would sue each and every person involved for WHAT precisely? What theory of law are you basing your misguided litigation on? Living due to the efforts of a medical team? Are you kidding/

  • @medicvideo Yes we are animals, we are organisms which fall under the kingdom Animalia. I know you don't, but considering the circumstances you should. I would sue every person involved in keeping me alive, from the cops who showed up to the ambulance drivers to the team of doctors and nurses. If not criminal, then civil. You're torturing this person far worse than any other method of torture ever devised.

  • @fmandwc2 By your logic we should shoot people who have a broken leg...just like a horse. Since you cannot sue ANYONE "criminally", only in civil court, THAT decision is made for you. You have no case however and would be laughed from court. "You're torturing this person far worse than any other method of torture ever devised" is a stupid statement, and false. You might notice that the patient is awake and relatively calm on arrival. Once turned over he is put to sleep under general anesthesia.

  • @fmandwc2 And since, when it comes to medical care, we are the same as animals, perhaps you should see a veterinarian the next time you are sick? Obviously there must be no difference in care.... But don't forget, you are not allowed to talk or ask questions. Hunters and PETA don't allow it.

  • @medicvideo Veterinarians specialize in non-human animals. Doctors specialize in humans. And what are you talking about? Animals can't talk? Is that a law of nature? No, because it's not true. Dolphins have a language which they use to communicate, and humans use a wide range of media to relay communications.

  • @fmandwc2 Oh...so now we ARE different from animals. Make up your mind.

  • @medicvideo I differentiated between non-human animals and humans, where is that saying that humans are not animals?

    By the name of your youtube account plus the fact that you have access to these videos, I thought I was dealing with a professional, but you argue like a child.

  • @fmandwc2 I am afraid it is your arguments that are child like. You started with "Everyone from Hunters to PETA members agree that if you come across a seriously wounded animal, the merciful and humane thing to do is to kill it quickly. Why would you not do the same for a person...?"

    I say again, humans are not animals. And you knew exactly what i meant before you began your silly "we are all animals" nonsense. Hunters and PETA have NOTHING to do with this discussion.

  • @fmandwc2 We do not "put people down". Even the most severe of injuries can be treated and recovered from. Your proposition is absurd.

  • @medicvideo I know you don't. But you should. This isn't some case where somebody got injured in an accident, this is one where someone wanted to kill themselves, where they wanted to die, and failed. You recovering them is directly acting against their wishes, at great cost to them in both physical pain and psychological damage.

  • @fmandwc2 You may think we should, but the state says that is murder. Here is what you would have health care workers do: Assume the report from the field is correct that the incident is a self inflicted suicide attempt. Ignore the fact that you cannot talk to the patient. Kill the patient based on this third party information. How about overdoses? What injury is NOT significant enough for health care workers to go ahead and kill the patient? Nonsense.

  • @medicvideo If a patient signs a "do not resuscitate" order, you do not attempt to revive them, even though you could. If this man had bothered to write out to you that he wished to die and did not to you to save his life, would you have?

  • @fmandwc2 Now THAT is actually an interesting question. A suicidal patient is not considered competent to make decisions about his own health care however. So yes, he would be treated. For example, an individual who is suicidal cannot sign himself out of the hospital if he is deemed a danger to himself.

  • @fmandwc2 Also, understand that this patient was not in immediate danger of dying. He was not bleeding to death and was breathing on his own. If not treated he would likely live for DAYS before dying from infection or starvation.

  • @medicvideo How is he doing now? Has he recovered enough to comment on your work?

  • @fmandwc2 Since this occurred in the early 1990's, and a 20 year relationship with patient's you treat on an emergency basis is rather rare, no current information is available. I can say however that he was discharged home, and rather than killing himself he returned for numerous re-constructive surgeries over at least the next year. Not only did he value his life and find it worth living, he found it had worth beyond the hardships he had to endure due to his injury.

  • @fmandwc2 Yes, that would definitely fix things, would it not? No, letting him die is the only real option in this case in my opinion. Until we have technology to restore this guys' face, there's no point in saving his life. If he wanted to kill himself before this, he's most definitely gonna want to kill himself afterwards also. He's left with no face, no sight, no smell probably, dont know about hearing.

  • @TeachMeProperDancin It appears his hearing is intact due to response from veral stimuli.

  • @TeachMeProperDancin He retained sight and hearing and was alive at least 12 months out....so "most definitely" does not describe his desire to kill himself after this event.

  • What is this mans condition? does anyone have a update

  • Where is the rest of the video ?

  • @iGAMEiNSANE nahh, it would have took out the nurves in his face so he cant feel anything

  • @cejason Are you 100% sure of that?

  • @nortenero yes my grandad was a doctor, he told me that the nerves would have been taken out in the blast

  • ouw noooooooooo

  • And after he recovered...he went home and shot himself properly...

  • Ironically he still is better looking than me :(

  • @EnglishJohnnie

    Idk Johnnie, your pretty cute

  • @w00bii Lool Thanks :D

  • @EnglishJohnnie That's not irony.

  • Unbelievable! He recovered well...even regained sight and speech.

  • Why spend all that money to try to save him? He wanted to die, so let him.

  • Incredible work the medical professionals are capable of!

  • I've always had a great deal of respect for Dr. Kevorkian. Facing prison terms and career suicide to end the horrible suffering that his terminally ill patients were forced to endure by doctors bent on keeping them alive for as long as medically possible while conveniently milking as much money out of them as they can until they finally die. Then hide behind and justify their means through that narrow minded self righteous fucking oath they take out of medical school...

  • @lmos26 Dr. Kevorkian would NOT have euthanized this man. This man was not terminally ill. Dr. Kevorkian would've turned this man down.

  • doctors will try and keep you alive no matter what and this is the worst example of that policy

  • @lmos26 I could not agree more. If this was me, I'd be so fucking pissed they kept me alive

  • @Eyesex If anything I hope this video will teach other suicidal people to make damn sure they do it right.

  • i cannot bear to see this...

  • amateur cowboys transport a patient prone

  • did he live?

  • was he put into an indused coma at all?

  • Poor guy. Hearing him wimper makes me want to cry. Poor thing wanted out of his misery but just caused himself more.

  • @soniasonia

    What makes you think it was a suicide attempt? It could have been an accident.

  • @MrKra7as read the description. It was self inflicted =(

  • @soniasonia

    it could have been accidently self inflicted. but yea from the looks of it it was a failed suicide attempt... something tells me he's gonna try it again, especially after his face got blown the f up.

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  • wtf....guy try to kill him self and survives,now hes going to look like the elephant man

  • I cannot even imagine what it would be like to be this guy. Imagine being in unbearable, unbelievable, horrific pain, and not being able to communicate that you're hurting, or any part of your condition. Good lord. Poor guy. Does anyone happen to have any updates on his well-being?

  • holy shit!!

  • Awful. Why bother saving him?

  • he lived and got sent home a few weeks later

  • Did he died?

  • Never under the chin..In the mouth(yeah make a joke) or to the fore head

  • @CosmicDestroyer99 This is a common presentation when a shotgun or rifle is used for suicide. The only way the individual can reach the trigger is to angle the weapon's trigger towards them which leads to the under the chin and forward blast trajectory.

  • @medicvideo Really depends on how long the rifle or shotgun barrel is looks at some shotguns have pistol grips..Also has been known that people use there toes to pull the trigger if it is a long gun

  • are there any after photos? I know everyone here would love to see some

  • @w00bii no. thats a shitty site noob

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  • imagine him sneezing.

    

  • Great Work, very good communication between the staff. quick intubation. any information on medication during Intubation? it seems that the patient coughed, so i guess there was no relaxation (sorry for my bad english)

  • @flyer55555 He was given an intubating dose of Succinylcholine while prone and then immediately turned supine. He did react to the ETT being inserted with one cough. This may be due to inadequate time between relaxant and intubation (<60 sec). Once the tube was in he was given an anesthetizing dose of sodium thiopental.

  • @medicvideo no morphine or sufentanil or something? just a thought because the standard rapid sequence induction in my hospital says Etomidate/succinycholine/fenta­nyl + cricoid-pressure(just a translation from german to english) like he was given until ETT was over.

    Thiopental: am i right that he was given to prevent a rising ICP an protect his brain.

  • @w00bii

    Nahh.. goregrish. :P

  • let the poor bastard die. how many of these people who blow their faces off and are kept alive, recovery mentally, and go on to lead a happy life? less than 5% is my guess. They should blow their brains out where nobody's around next time.

  • so he was suicidial so they fixed him up and sent him home with no eyes or face, what do they think will happen next

  • they should put this poor bastard out of his misery!!!!!

  • @brainiac409 Really? Should they shoot him again or how exactly would you suggest he be killed and by whom precisely?

  • @medicvideo well there's enough people there to come up with a good idea I just think he should be put out of his misery. I didn't say anything about shooting him!!!!!!!!!!!!!

  • @medicvideo shotgun surgeon

  • did he died?

  • why people saved him? He wanted to die so let him. Saving him will force him to live with sever disfigurement

  • @gymparasite Because in the United States we do not judge patients as to whether their lives are worth living. We do not MURDER patients instead of treating them. To suggest that physicians who have never spoken with you and have spent 10 minutes in your presence should decide that you should die is absurd and nonsensical.

  • @medicvideo Your wrong. There have been some cases in medical literature on hemicorporectomy where the saving of ones life is refuse by doctors in USA. There were cases of traffic accidents where the only way to save the patient was with a hemicorporectomy but doctors judge in the ER that the patient would not want to live after that procedure so they just dont do it and let the patient die. I think a hemicorporectomy is not as bad as living without a face(senses) like this guy.

  • @gymparasite You are being ridiculous. A hemicorporetomy (cutting someone in half for layman) has only been DONE a few dozen times according to the literature. It is a VERY radical procedure that is a last chance effort to save the patient's life. Most surgeons could not even perform one.There is NO comparison between the two procedures. For starters, this patient was NOT dying. If the surgery were not performed death would have been slow and painful from starvation and infection.

  • @gymparasite As for not having 'senses', his eyesight and hearing were unaffected and he was able to regain speach.

  • @medicvideo i say they should've said "squeeze my finger once for us to try and save you and twice for us to kill you" and let him decide

  • @medicvideo well said my friend, well said