Tap the bell icon on the YouTube app and never miss out on unique stories from 101India Put more chalk on the line! This is a passion for Punjabis It's in their blood These dogs are born to run India is the 7th largest country in the world But apart from the stereotypical Maharajas, elephants and snake charmers There are many weird and wonderful
things that happen here And I don't think anyone on the 'desi' internet is as drawn to the weird and wonderful As I am Whether it's dining with the 'daakus' of Chambal Or hanging with the 'gaurakshaks' of Ramgarh In Dr. VC's world, you get to see it all Because we have something for everyone here 'Punjab' comes from two Farsi words 'Punj' meaning 'five' And 'ab' meaning 'water' Hence, 'the land of five rivers' But people often forget the sixth river The one that flows in the veins of Punjab's youth The river of swag Welcome to Punjab The home of 'swag' We've heard of horse racing and car racing And we are all familiar with the human rat race But today, we are going to witness
a different kind of race Greyhound Racing In Punjab For others, this is just a tradition But for some young men in Punjab, it's another way for them to multiply their swag I wanted to see that side of Punjab Which, despite spending my youth here, I had never even heard of Some people believe this sport is animal cruelty But I didn't want to make a judgement
till I'd seen it for myself To learn more about this I decided to come to Punjab, despite a broken shoulder You're here, bro Finally! How does it feel to be back in Punjab? We've just got here, man But I like the vibe Xulfee, should we take one of the dogs back with us? You take one, I'll take one On this trip, we will experience Punjab through The eyes of a racer dog This is my friend Xulfee He likes to call himself a director He found Sukhmeet Singh Whom people lovingly call 'Jugnu' Jugnu owns a 'shikari' (hunting) hound And often, these owners like to
be called 'Shikari' themselves He'd racing his prized greyhound in a race And the dog's name is Commander Judging these dogs by their size would be a mistake These skinny looking hounds Can easily run at speeds of up to 60 kmph Jugnu's brother, who lives in Canada, is a veteran Shikari And founder of a group called Hunter Brothers They train their imported greyhounds together These Shikaris get together On specially created tracks in the fields
to train their greyhounds Greyhound races have been around since the British era Back then, these hunting hounds
would chase live rabbits But when this practice was banned The shikaris found a solution Now, these hounds chase a mechanical lure Which is just a plate with a rabbit skin on it One person cranks the machine The lure sets off on the track And two hounds set off after it, like horses on a track They move so fast That you wouldn't be faulted for thinking
their spines were like coiled springs How are you? All good I'm here to meet Commander Okay, he's this way I've heard a lot about him, and I just had to meet him 24 month old Commander has been
training hard for the past year And he is on his way to becoming Punjab's
Dog Racing Champion This is Commander's... Turf? Yeah, this is his spot What's up, Commander? Come Don't worry You can touch him, put your hand forward Should I? Go for it He won't bite me, right? Not at all! Don't worry Where did you get him from? We brought his father down He was called Big Mac We got a female from here to mate with him What was her name? Her name was Lady Shooter Hahaha Big Mac and Lady Shooter He's their child Commander He's so well built! The rabbit and the greyhound It's like there's a blood connection between them The moment he sees one Something starts to happen to him Jugnu, buddy How does he eat the bones? We'll take the bones out We're only going to feed him the flesh The food for racer dogs in Punjab Is as magnificent as the food for humans Commander has his own home,
with a bed and ceiling fan Just look at him! Chilling out while getting an oil massage And living life large Like a nawab People can't find a house this big in Mumbai When are you going to get him married? Marriage? Let him win a race first Then he will get married really soon Maybe by next winter They're going to celebrate their honeymoon In this room After checking out how Commander lives It was time to meet Jugnu's Shikari brothers Their chief, 'Santy Paaji' is a senior Shikari And an important part of the history
of greyhound racing in Punjab Today, he'll give me a 101 on the history of the sport Sometimes, I wish I was a grehound You get good food, someone to give you a massage Then you get to sleep You just have to run 3-4 races in a month After the partition Some enthusiasts from Pakistan
who came over to this side And formed the Punjab Coursing Club here Punjab Coursing? Yes, Coursing Real rabbits were used back then for the races There was no ban Why did it get banned? It comes under cruelty How long ago was this? This was the year 1992-93 That's when it was banned But our passion was alive nevertheless We wanted to keep the dogs Otherwise there's no use of these dogs
if you don't make them run Our Chaudhary Mohammad Habeeb
from Malerkotla He got a dummy rabbit track from Pakistan The track has a dummy rabbit That runs with the help of a wire Then we started having all
our competitions on that track So this is a pre-Partition sport So what do you think is the future of the sport? When it comes to the future The biggest problem is that
you can't just import these dogs They've put a ban on it That you cant get them on a commercial basis Or make profits out of it But there's no profit in this This is just passion Nobody has built houses out of this Nobody has bought plots of land Rather people would have lost money pursuing it But the passion for this is rooted in our blood The families that live here We don't even spend as much time on our kids As we have invested in these dogs You've even put a bed in your bedroom for your dog! Yes, I have Some of you may have seen me On episodes of 'Dinner With The Dons' This is the first time I'm having 'Lunch with the Shikaris' There's a saying: In this world, a man only eats what is in his destiny In this world, a man only eats what is in his destiny Whether he eats it in your home, or in his own Well said! Thank him, who eats in your home Because he got what he was destined at your doorstep Please do me a favour Record this on WhatsApp and send it to me Sure Me too I'll give you my number, send it to me also Jugnu, Xulfee is after my life to ask you Please tell me, is all this legal or not? What, dog racing? No, there's no legal issue at all Nothing to worry about If it was illegal or banned, why would
there be so many tournaments? Why would people spend Rs. 5-6 Lakh to import these dogs, if that was the case? No one would ever do it There's nothing wrong with it These dogs are bred for racing Good morning, Jalandhar It's 9 am, and my name is Doctor VC.
People are just about waking up People are looking at me like 'who is this guy?' I've specially bought new sunglasses
and a new pair of shoes for this Because I want to treat it like 'desi derby' Punjabi Dog 'Darby' 'Darby' So yeah, let's see, it's going to be an exciting day I want to load myself up with parathas Xulfee Will you take me? We are going to a small Punjabi village called Roni Who would have thought that
a remote village in Punjab In the 'back of beyond' Would be home to 'Desi Dog Derby' Is Commander well rested? Yes, Commander is well rested and fit Commander is in the back,
he's resting before the big race Commander will command... ...Respect And victory And a lot of bitches! Look, now I'm f**king excited, bro Hello, hello 010 Channel is here India TV. 101 India presents... Dog Racing In Punjab! When this curtain is removed You will witness India's first dog lounge Look at this! So many greyhounds! 1, 2, 3, 4, 5 These dogs have been muzzled So that they don't accidentally
bite each other during the race Is this any less impressive than
a fancy dog show in a big city? Before the race began,
a plough was attached to a tractor To loosen the soil and make the track soft So that the racing dogs don't get hurt on the track With me is my brother VC.
People know him as VC, but his name is Vishal Chopra As the time for the race drew near The organisers decided to start drawing lots And their advanced, high-tech system to draw lots? Chits! What could be better? What does this say? Twenty five! Who is number twenty five? How much time will it take to make this? The race has to start, don't waste time! Off they go! Shit, they're fast, man. And then, it was time for Commander's race That's why he's been resting till now Jugnu and his gang were looking a bit nervous Their hopes and prides were riding on Commander Next: Hunter Brothers group's striped dog - Commander With every race, Commander's impressive legs brought him closer to becoming the champion Mr. Chima is here Mr. Chima, tell us your story in one line I'll tell you later, when I'm free We're a little busy right now Are you giving Commander water to drink? Yeah, I have to go take care of him now I'll be back Commander will win, I'm sure of it I don't know, I can't say The dog against him in the next round His race in the next round His opponent is a female He's had a 9 course race with her What's her name? Her name is Black Power or something like that Quarter final, semifinal and final Three rounds more to go for Commander Number 1! On the one had, we saw these old school techniques And on the other, a live broadcast van was standing by I was told that they were here So that the Punjabi diaspora around the world Could connect with their roots back home But wait, these dogs aren't even really Punjabi! Like every competitive sport, this one has disagreements too Sometimes even fights The losing party was not happy with the decision And their anger was coming out in full steam He didn't stop! We asked him to stop for 2 minutes! What is this? The issue was resolved by
a replay thanks to the live TV team But I still felt bad Because watching them fight
was very entertaining for me Look at them! Poor guy! All day long, they've been bringing
in the dogs by car from so far And here, he's lost in a minute and a half! There was now just one race left
between Commander and the trophy All eyes were on Commander Commander tried his very best But his tired legs had run their course Commander lost the race So the dog that defeated Commander was called Black Stone He won the race So Commander is now in third place Come, Commander.
Well played! At this level it's always close There's not much difference between
those in first, second and third place After a Desi Dog Derby, there has to be
a post-match ceremony All the Shikari winners were
present to collect their prizes But more interesting than the award ceremony was the lighting arrangement Punjab is the land of innovation No lights? No problem! We'll fire up the SUVs But the ceremony has to have lighting! And photos! Commander finished third in the race And won his owner a consolation prize At least the prize money should cover
the diesel costs for Jugnu's SUV. Somehow, these dogs had managed to make me forget About my shoulder which was broken in three places How I wished I could just stay there
in the fields driving a tractor! Just listening to my favourite Punjabi songs But the people demanded it So I had to come back to Mumbai Till the next video on 101india.Com Ok, ok wait Let's just make an official announcement We request everybody who's watching the video If you like the video Go and watch it again on 101india.Com My brother VC wants to say something We're on Facebook, Twitter and Instagram too @101india Go, subscribe and follow Once again, we pray to God That 101india prospers Thanks once again, brother Thank you very much!.
Saturday, July 28, 2018
Greyhound Dogs The Second RaceThe Brothers Riedell Have A Field Day
When we really saw what was going on there our eyes were opened and it really changed our perspective There is a darker underbelly to the greyhound racing world The reality for these dogs is once they stop racing through injury or age, if they
don't find a home oftentimes they're euthanized. I'm Joyce McRorie and I rescue greyhounds. I was I think in my 40's and I didn't have a dog, I wasn't even thinking about race greyhounds and how they were or how they lived. But the temperament seemed to be perfect for me.
So I adopted, we adopted our first dog robber and he just was so human. And look you straight in the eye, those dogs will look you in the eye and they appreciate everything I think they just
appreciative dogs. I think they they really like to be with people. They're with
people almost their whole lives even when they're at the track they're with a trainer there but the very human and a very connected to you.
If I'm stressed I
see it in in my dogs, you know and that calms me down. So the foster situation is better for the dog and better for the
person who adopts a dog because it comes from the track into a home. When it's in the home it becomes a pet.
We have a tremendous amount of people helping us out and every one of them is
sincere and honest. Hi this is Courtney calling with Fast Friends
greyhound adoption, how are you? I just wanted to go over retired racer basics and kind of
introduced you to retired racers and some information you need to know if
you do end up adopting a dog from us.
Sometimes we have foster homes for five
dogs sometimes we have foster homes for 20, sometimes we don't have any. We'll be going and we'll be bringing in at least 8 dogs on Saturday. He's only 16 months old so he's just full of himself aren't you? It's hard the first couple of times and
we lose people as fosters because they'll keep their foster and they only
want one dog and that's it. When we first started we knew that the dogs we didn't take and
they weren't able to race anymore that they would be put down.
It was it was very
hard to leave them behind, you looking at the dogs that get done at the track, they're
ready to come home and there's no place for them to go. What do you do with that? You do the best you can and that's it and so we started a group up here sometimes we
have many as 60 dogs in foster homes. Once people have any connection with a
Greyhound, they don't walk away I mean it's just that the connection that they make
because I think they're they're very human. When we got to meet these dogs for the first time, it was literally like life-changing.
We've got to meet 4 of them at a time and then
we went to another place the where there was 24 of them. When we first met them we we sat on the floor and these four dogs came around us and just so innocently
inquisitively sniffed our faces and really connected with us and we fell in
love with these dogs. We both left we gotta get Greyhounds. Across the country, really in trouble in terms of finding enough homes for these dogs.
And getting them into facilities or foster homes. So this dog pretty much will become extinct when there is the racing industry's gone which is you know it's kind of a mixed
blessing I guess. I think a bit beginning it was oh we're gonna rescue this dog, in the end it's boy do I have a great dog here. Maybe I'll get another one.
Some people maybe just get them because they
want to save a life but once we get the dog the most important thing is the dog
in a relationship they have with the dog. But it would be nice if we can just get it to where they're done already. Thank you Randy. Yeah Thank you Randy that's very good.
Anyway my hope is that at least we're we're concerned is that we can keep going until they
don't need us anymore. That would be lovely. Would be really nice and other videos
coming out today check out California city investigates the small city made from
big dreams and gaming brings you everything you need to know about hot
peppers hot peppers don't miss out on subscribing so you can see the
unbelievable holiday video made by Hazel haze in a few weeks will CNN..
don't find a home oftentimes they're euthanized. I'm Joyce McRorie and I rescue greyhounds. I was I think in my 40's and I didn't have a dog, I wasn't even thinking about race greyhounds and how they were or how they lived. But the temperament seemed to be perfect for me.
So I adopted, we adopted our first dog robber and he just was so human. And look you straight in the eye, those dogs will look you in the eye and they appreciate everything I think they just
appreciative dogs. I think they they really like to be with people. They're with
people almost their whole lives even when they're at the track they're with a trainer there but the very human and a very connected to you.
If I'm stressed I
see it in in my dogs, you know and that calms me down. So the foster situation is better for the dog and better for the
person who adopts a dog because it comes from the track into a home. When it's in the home it becomes a pet.
We have a tremendous amount of people helping us out and every one of them is
sincere and honest. Hi this is Courtney calling with Fast Friends
greyhound adoption, how are you? I just wanted to go over retired racer basics and kind of
introduced you to retired racers and some information you need to know if
you do end up adopting a dog from us.
Sometimes we have foster homes for five
dogs sometimes we have foster homes for 20, sometimes we don't have any. We'll be going and we'll be bringing in at least 8 dogs on Saturday. He's only 16 months old so he's just full of himself aren't you? It's hard the first couple of times and
we lose people as fosters because they'll keep their foster and they only
want one dog and that's it. When we first started we knew that the dogs we didn't take and
they weren't able to race anymore that they would be put down.
It was it was very
hard to leave them behind, you looking at the dogs that get done at the track, they're
ready to come home and there's no place for them to go. What do you do with that? You do the best you can and that's it and so we started a group up here sometimes we
have many as 60 dogs in foster homes. Once people have any connection with a
Greyhound, they don't walk away I mean it's just that the connection that they make
because I think they're they're very human. When we got to meet these dogs for the first time, it was literally like life-changing.
We've got to meet 4 of them at a time and then
we went to another place the where there was 24 of them. When we first met them we we sat on the floor and these four dogs came around us and just so innocently
inquisitively sniffed our faces and really connected with us and we fell in
love with these dogs. We both left we gotta get Greyhounds. Across the country, really in trouble in terms of finding enough homes for these dogs.
And getting them into facilities or foster homes. So this dog pretty much will become extinct when there is the racing industry's gone which is you know it's kind of a mixed
blessing I guess. I think a bit beginning it was oh we're gonna rescue this dog, in the end it's boy do I have a great dog here. Maybe I'll get another one.
Some people maybe just get them because they
want to save a life but once we get the dog the most important thing is the dog
in a relationship they have with the dog. But it would be nice if we can just get it to where they're done already. Thank you Randy. Yeah Thank you Randy that's very good.
Anyway my hope is that at least we're we're concerned is that we can keep going until they
don't need us anymore. That would be lovely. Would be really nice and other videos
coming out today check out California city investigates the small city made from
big dreams and gaming brings you everything you need to know about hot
peppers hot peppers don't miss out on subscribing so you can see the
unbelievable holiday video made by Hazel haze in a few weeks will CNN..
Friday, July 27, 2018
GIVE ME ALL YOUR MONEYOBEY w Bob, Wade, Jack
Wade: I'm a rabbit and I can only jump
one inch? Mark: Yeah...
Jack: Yeah it seems- Bob: Kinda like...
Jack: Oh hey! Bob: You're kinda like a little hamster Bob: Oh hey what's up fellers? Mark: Oh hey- hey guys how's it goin'? Jack: Hello *laughs* Mark: What the fuck- hello Bob: Wait wait, wait everyone shut up Mark: Okay
Bob: Jack, jump! Jack: Wait I have to turn up my sound
because it's adorable Jack: Er, eh, wuh Bob: Okay, and Mark is this you then,
over here? Mark: Hup!
That's me! Bob: Where the fuck's Wade?
Wade: Are you guys close to the building?
Jack: Wade's over here, Wade turn right! Jack: We're over here! Jack: At the green thing! Mark: Wade, we're squeaking
Bob: Go towards the squeaking
Jack: Go left, left Mark: Make a left, make a left, make a left
Bob: Squeak furiously! Mark: NONONONO. Mark: Towards the building! NOOOO! WADE!
Jack: Over here! Wade: I see you, I'm on my way!
Mark: Okayyyy!
Bob: *uncontrollable laughter* Wade: Well Jack said go right, so I turned right! Jack: Yeah, not fucking 180 degrees! Wade: I went 90 degrees right! Bob: You did not, you were like Bob: It's like, "Go right" Bob: "Okay, this wayyy!" Bob: "No, go left!"
*Heavy laughter* Bob: "Okay, this wayy!!" Wade: I was looking at the building and went that way! Jack: We're extraordinarily cute, but fucking slow Mark: Yeah
Bob: Yes we are, I think that's part of the whole thing Wade: There's someone else here! Mark: I think that's probably fine
Wade: Let's fuck 'em up! Bob: Oh wait they're bots, they're bots, they're bots
Jack: Uh-oh... Wade: Oh God I'm drowning Mark: Ohh are we supposed to go towards the building or is that gonna kill us?
Wade: I think so Bob: I'm gonna go towards the building Mark: Alright Bob, you do that
Jack: I don't know what's happening Wade: Must obey! Jack: Somebody's just here, shoot 'em down
Bob: I, I.. I'm--
M: Holy shit Wade: Oh my god the building looks like a cow-pig! Bob: I'm just gonna say, I don't know much about this game
Jack: This is fucking haunting
M: Oh...
Mark: There's an ominous noi-OHHHH
Wade: AHHHHHHHHHHHHHHHHHHHHH
Jack: Jesus Christ! Fucking hell!
Bob: oOH HOOO HO HO OHHHHHH. Bob: OH HEYY
Wade: What? Mark: Wooooah! Wade: It's possible to crash the star ship?!
Mark: AGHH why?!
Bob: *surprised panicked noises*
Jack: Oh... Bob, Bob? Can you--?Ah Jesus Christ! Mark: Bob why did you do that?! Wade: "A balanced dropship is a happy ship"?
Bob: Oh my god I'm dy- everything I do kills you! Wade: Wait guys there's a balance, balance!
Mark: *laughs* Mark: Oh, we need to crash it Mark: We need to crash it; get over on this side
Bob: Wait, who is this? Mark: Guys, get over on this side
Bob: Who's...
Jack: Why do, why do we need to crash it? Mark: Because it said you need to crash to escape! Wade: But it says "A happy dropship..."
Jack: But it says "A balanced dropship is a happy dropship" Jack: We're all gonna die!! Wade: *shrieks*
Jack: Ahhh!
Mark: No, you seeee? Mark: Woooah...Oooh!
Jack: Okay what do we do, what did we get? Mark: I'm bringing...! *Laughs*
Bob: Bring me all that shit into the green box Mark: I'm bringing it!
Bob: Or I'll fucking murder you
Wade: How do you grab? Jack: Oh god, oh god, okay
Mark: *laughing* Mark: Oh jeezus!
Jack: We'll obey! Jesus Christ! Bob: OBEY ME!!!! Mark: Okay...
Jack: This is fuckin' terrifying! Wade: who's going back to the drop ship, but not carrying anything? Mark: It doesn't, it doesn't go up-- No, I'm not doing anything!
Bob: Hey! Hey. Heyyy...
Jack: Wait.
Where do we bring it? Jack: Where do we bring it? Bob: In the green box, right there
Mark: It's not doing it Bob: Nope nope nope Mark: It's not doing it
Jack: "You can only carry up to 3 items" Wade: Oh, right click
Mark: Right click, got it got it Jack: Ahhhh
Bob: Thank you Bob: Thank you, you know what? Money for you... Wade: Wait are you...?
Mark: Oh! Mark: We deposited something for no autopay; we probably shouldn't do that Mark: Hey, we demand FAIR PAY and FAIR WAGES!
*Chuckling* Bob: Hang on, hang on, right right right, right right Jack: Minimum wage please! Mark: I don't know...
Bob: "Action - Mouse 0" What is mouse zero?
Jack: Woooooo!!
Wade: Oh Bob: *panicked* Sorry, sorry, sorry, sorry, sorry, sorry, sorry!
Mark: Woah hohohohooo! My god!
Jack: Bob,-- oh Jesus Christ! Bob: Sorry, sorry! Sorry
Jack: Fucking hell! Jack: Relax!
Mark: Oh Jesus Wade: Erm, I think I'm carrying a missile?!
Bob: Everything is death! Bob: God sakes!
Mark: Hohohoho *All breathe* Wade: Don't shoot me, don't shoot me!
Bob: Alright, I need to--
Jack: Okay Jack: Okay, I don't know what's happening
Bob: Hang on, I'm looking-- Jack: "Can we have some obedience payment, Overlord Muyskerm?" Jack: The bot is asking you something
Bob: I'm, I'm working on it Bob: I-I...*Sigh* J: It's really terrifying that it looks like you have a face, two diddies and a dick W: "Two diddies"?
M: Heh, the gun is your girthy-- gAh OHHHH FUCK. M: What did I do?!
J: *laughter*
B: *short, surprised breaths* M: WHAT DID I DOOOO?!
J: *still laughing at Mark's death* J: You got too close!
M: I wasn't even close, I was around the side!
W: Ahhhhhhhhhh!
B: Oh, you're... I-- B: I didn't even do that, you ran into the electrical things B: I...
How do I fucking give you money? W: What do we-what even is this?
B: Oh! Oh, hey wait B: Hey, who's this? Hey, you here.
J: Me! It's me! J: It's Jack!
B: It's you, that's you? J: Oh gee, that's not good
B: Money B: Money for you! Nonono, stay still, stay still B: I figured it out, money for you B: Now you have money. Maybe.
J: Do I? J: I do! I have $37 J: Ooh $373! Bob--
B: There's some money on the ground. Go get it Jack, I gave you money. Alright, everyone...
M: Yeah I have $314, $315... J: Oh, dropship B: Alright, get the dropship stuff and bring it to Bob
W: Yeah... WoOOOOO!
M: Ok, AHHHH! Heh heh B: I know how to give you money now M: Bring it to Big Daddy Bob
J: Oh my god J: Look at all this shit
B: Bring it right there M: I'm bringing it! I'm bringing it!
W: We're bringing it Bob!
B: Right there M: We're bringing it!
W: We're bringing it! *Mark and wade sob*
J: *giggles*
B: Good job! Good job everybody B: Here, I'll put some money down for you, good job everybody
J: Thanks W: Thank you Bob B: There's some money-
J: Thank you Overlord Bob B: Here you go, here you go fellas M: Ooooooh!
B: There's some money for ya M: Oh thank you! J: Money, money, money, money
B: Bring it all right there, if you would please W: Yeah w-we're bringing it B: Hey, whoever's still carrying shit, you fucking bring that before you get money, alright?
M: I'm bringing it... I, I'd just-! M: That was on my second pass; I was bringing more!
J: Haha ha
W: YEAH!
B: I, I gave you-- W: We made two trips!
B: I gave you money, I gave you money, I gave you money
J: Wait, how do we buy shit? B: You don't buy shit, I buy shit
J: I think you buy it on the dropship B: I buy it
M: Ohh W: You buy stuff with OUR money? B: No, I have my own money
J: There were prices on the dropship when I looked inside it W: Yeah but we have money too B: Yeah so, I wasn't gonna say this until I had a really substantial lead...
B: Your goal is to take over this tower from me, just FYI. W: Well yeah, but how? We can't get close!
J: How?
M: Well how do we do that? B: You have to walk in the front door, sneaky sneaky like J: This is fuckin'-- Oh, ahHAHAHAH
W: I don't know how we do that
B: Sneakier than that! M: Like this?
B: Oh shit! B: Oh god!
J: Yeah sneaky like- BOOOOM. M: *still heartily laughing*
W: *shrieks*
B: Goddammit J: See, wait, look! B: Wait, so we should crash the dropship, everyone crash it. Fuck this
J: Look here! It gives us places B: Don't let Mark get all these resources, fuck it B: Crash the dropship J: OH GOD! FUCK! JESUS CHRIST!
W: Uh--OH NOO! I wanted to buy...Oh
M: *laughing* W: Wha- I'M BACK HERE AGAIN!!!
B: OH MY GOD.
M: *giggly bitch* J: There's a buncha shit in here! B: Holy...
M: *bellows* GIVE ME RESOURCES.
W: Oh, nooo!
*All laughing* B: Holy. Fucking. Shit.
M: Oh my god W: What have we done?!
M: I don't know! *Laughs*
B: Yeah, why did we let...
J: Why do I have... J: I have like, no money anymore! M: Yeeeah, what the fuck? M: Alright so, alright
J: What is this crap?
W: You bought something M: Alright Bob, tell me what I'm s'pposed to do B: Okay basically every button except for "V" is murder B: You hold V to put little pointers on the map B: And to give out money to people M: V doesn't seem to do that for me
J: Oh wait! J: Mark's in the thing now? OHHH we're floating
B: Or C, it might've been C.
B: It might have been C, it might have been C. J: Ohhh we're floatin' M: Oh you're right it's C
W: Crash the ship! W: Crash the--!
J: Oh we've got a significant imbalance-- M: Woah oh *breaks into laughter*
W: Oh god!
J: Jesus Christ! M: Oh, Bob made it in
J: Fuckin' hell!
B: Did you guys... J: Okay!
B: Did you guys crash my ship? B: Hey look, get that stuff, I'm back in control, I'm not gonna murder you, I'll give you MONEY
J: Ok
M: Ha hah ha M: Ohh, okay, alright B: I will give you many moneys
J: Thank you, thank you Overlord Bob--
M: Bob B: I am a benevolent overlord
J: YOU JUST KILLED ME. B: I did not! You got too close to the laser thing M: Bob!
J: Which means you killed me! J: I will say, it's very pretty
W: Wait, what are these metal pieces going in?
M: Bob!
B: Here.
Money. Money. B: Money! What?
M: I have an obedience collar, do you need money?
J: Hey, I'm so far away! B: Umm, you can put the collar on, that'd be fine M: Okay, it's already on, I got it B: Eh-Wait, who's this- B: Who's this person who doesn't have a collar? B: Who the fuck is that? B: You. B: You! J: I-I'm comin'! J: I need an obedience collar! J: You killed me and now I'm all the way over here
M: I'm dropping off, don't worry! I'm dropping off! M: Don't kill me, don't kill me
J: Oh, wait, wait! J: I got it, I got it
M: There you go!
B: Good job, you guys B: I'll give you money, my little servants
M&W: Thank you! W: Thank you
J: Give ME money! J: I have, like, no money anymore
M: Ah...
B: You gotta give me-
W: Thank you B: You've gotta drop me shit- hey, who's this? B: Who's this?
M: Eh B: Who is that shit with no obedience collar?
J: Not me! B: Who are you? M&J: *laughing* B: I will fucking end you!
J: You can't put money ON the drop thing, we can't get that! B: Oh, sorry, I'll put some more B: I'm rich, so it's fine B: Here you go, friend
M: Comin' back! M: Woooahh
B: Ah! Shitsnacks B: Who just-- oh
J: FUCKING JESUS CHRIST!
M: WAAAAAGGGHH
W: HEY BOB!! B: *laughing* W: HEEEYY
B: *giggly* Wade
M: nO, I'M...WADE! DON'T KILL ME.
M: I'M DROPPING OFF, I'M DROPPING OFF!!
J: Oh god W: Alright
M: I'M DROPPING OFF!
B: Alright, Wade M: THANK YOU
J: This is fucking terrifying!
B: I- M: *freaking out* I'm putting on an obedience collar!
W: *laughing* GET ME STUFF
B: *laughs* M: I PUT IT ON
J: *laughs*
B: Wade, I'm the one that's far away, I have a collar on J: *shhh*
B: Don't kill me, I bring you resource B: I am here, I bring you resource
M: I bring- I bring you everything you want M: I give you BEST resource
W: You better! M: Oh, resource gonna taste so GOOD
B: I was g-oh, shit, how do I get B: How do I pick stuff up? Okay, there we go M: Ooh
W: I don't know how to do anything here, W: but don't take that as a- M: AH!! WHYY?! W: Oh M: What did I do?!
B: *laughing* M: I GAVE...
W: I wanted to see what would happen!
J: *laughs* M: I GAVE YOU RESOURCES!
B: Wade, if you, if you push- W: Oh, well...
B: OH MY FUCK
J: GET REKT BITCH. W: Hi Jack!
M: Ohhohoho, noo J: Oh, GOD, this is scary J: DIEEEE MOTHERFUCKERS
B: No, no no, NO NO NO!
M:NOOO!!!
W: WHAAAT, OHHHH. M: I'M GETTING YOU SHIT! B: I have an obedience collar!
J: Who's over here? W: *shrieks*Jack!
B: I'm doing it!
J: Who's over here?! W: *shrieks*JACK!
M: I'm just getting you shit (x3)
B: Jack, don't be like that! I'm doing it, look, look B: I have a collar
M: I love you B: I have a collar, I'm going
J: Okay B: That person doesn't have a collar
J: Ok, who's coming in, who's coming in J: Who're those two?
B: That- this person right here
M: I DIDN'T HAVE A COLLAR. M: THERE WAS NO COLLAR AROUND HERE.
M: GIVE ME YOUR DAMN COLLAR
B: You just- M: GIVE ME YOUR COLLAR
B: You just put one in the machine, you dumb! M: NO I DIDN'T, I DIDN'T HAVE ONE ON
J: Okay okay okay B: Oh no! I just deposited my collar, I'm sorry B: I'm sorry Overlord
M: See! He-he-he's
J: It's okay, it's okay, have some money! J: Have some money!
M: He's a betrayer
B: Ooh, ooh, money! J: Yeah!
M: Heh, Jackieboy's the worst overlord I've ever seen
W: Heyy Jack! W: UHH
M: Don't kill! M: I've got goodies for you! M: Kill AFTER I deposit the goodies-
W: DON'T KILL, KEEP ALIVE- W: AHHH!!!
J: OH! OHHH!!
B: *giggling* Ohhh my god!
M: *AFTER* I DEPOSIT THE GOODIES. M: Jesus!
J: I didn't know what it did!
B: *laughing* M: IT KILLS!
J: I- I'm sorry! B: Here, I'll finish the job that these-
W: You murdered the shit out of me! B: I'll finish the job that this traitor was incapable of doing
J: Ohh! I'm autopaying you, look! B: Oh, shitsnacks! B: Autopay is the best B: How'd you do that?
W: Bob, you've got so much money!
J: You just press D. B: Yeah, I-I took a substantial lead before I told you guys the rules of the game, sorry J: Okay, nothing can be purchased until the drop ship is purchased J: Ohh, okay
W: Yeah, you gotta- W: How do you earn money if you can't get a drop ship? J: Yeah, I don't have $15,000! B: Well if you let me take control, I'll buy a drop ship B: Since I'm rich
M: HA-HA! J: aHahaa, I knew someone was gonna sneak in!
M: *giggles* B: Alright Mark, so you gotta buy a drop ship first- M: How do I do that?
B: -but you don't have money for that B: P, I think it said, was drop ship
J: P, yeah W: You have money, he's got $18,000
J: it's at the top of your screen J: Whoa, that's a terrifying light
M: Wait... You guys...
M: You guys need to put on your obedience collars!
J: Shine it on me again! B: I'm working on it
J: I got it! B: I'm workin' on it!
J: Ahh! W: I-I just deposited mine M: Did you? M: In which depository? B: *laughs*
J: I'm over here! J: There's an obedience collar over here, who needs it?
W: I'm right here, I'm right here, this is me! M: Where?
W: I deposited-ed-ed right here M: Ohh, okay
J: I have two! J: I have two
M: I see you guys M: I see you M: Where you guys goin- M: Who's tryin' to sneak in?! B: Are you gonna order stuff or what M: How do I do that B: You hit the numbers, and then, B: and you have to buy a dropship first J: Middle of... The top middle of your screen B: But then you hit the numbers that it says on the top of the screen M: Okay got it! Dropship on route J: Yeah go in to the purple flame, it gives you like.. Money M: Does it? M: Wait! I see- M: Who's over there, Who's over there! M: Who's over there!! AH! J: What the fuck! M: Who's over there!!! B: *laughing* M: Who's doing that!! M: I saw that! B: I think you're going crazy Mark M: Nonononono! M: I-i-i know there's treachery M: I KNOW there's treachery M: Alright, don't deposit the collars M: Keep the collars on B: Mark can you buy me a collar i'm in the dropship dude you may have killed me M: whoooo's there B: You killed me M: Too close for COMFORT. W: *inaudible "whooh!"* J: Christ that scared me W: Yeah it is J: stop obeying bunniplier B: Alright everyone, everyone, everyone, everyone uhh..
Oh hey collar gimme that B: aw i can't pick it up in the dropship B: Hey should we crash this fucker M: no no no B: Fuck Mark B: let's crash this bitch M: i'm watching you guys J: i still don't understand this game * laughs * M: * laughs * B: so the point is to get money B: when you're, when you're the overlord you passively get money J: you have 63 hundred dollars (6,300) J: or cents i guess... B: shhhhhhhh... W: Hey i also learned something else M: yeah? W: depositing corpses hurts.... You B: * laughs * M: Wait WHAT?!?! B: ohh that's cool M: I'm at negative 15 hundred dollars!! (-1,500) B: Oh my god!!! HA HA.
M: Fucking.. DON'T YOU DARE. J: AH! Jesus christ! M: *goofy laughter*
B: Jack! Jack let's crash it! B: Let's crash it, quick! Come over here! J: I'm trying!
M: *more goofy laughter* B: Fuck this drop ship! J: OK Am I-Am I on your head? AAAAH GOD! B: Alright whatever
M: You guys better get me some money M: Cause I am REALLY hurtin.
B: Look, I put my collar on B: I put my collar on, this is fine M: Good, yeah, sure, OK. M: I see you hiding in that bush! M: Who's hiding in a bush?! M: I see yoooohoohoohoo *giggling*
J: *giggle* B: Do you have auto-pay on or what, are you gonna pay me for this shit? M: I-I don't know, I have no money how can I pay? M: nO THAT'S A CORPSE.
W: *giggling*
B: Hey, where...Where'd that corpse go? Everyone: *giggles* J: He made a new corpse with the other corpse B: *laughter*
M: Whaddaya doin? Whadday doin? Whaddaya doin?!
I SEE YOU IN THAT BUSH!! M: NO!! B: OHOHOH MY GOD *LAUGHTER*
M: *maniacal laughter*
W: Jesus... B: Yeah Mark doesn't have shit. M: You guys ca-WHAT the FUCK?! J: Jesus fuckin christ! B: Oh my god... M: Oh geeze
J: Yay now we're on the drop ship again
B: The bot-The bot is now in charge M: Oh shit that's not good
W: *SCREAMING* Everyone: *is dying* J: Good sound, good sound.
M: Good, good, good, I like this. OK. Alright. J: We need to crash this, we'll have to wait
20 seconds otherwise.
M: Alright, ok, alright. J: Crash it everybody up...Somewhere. M: We gotta pile up on one side.
Bob: We got get in and crash the shit out of this. M: I got it.
B: You can do it.
Mark: Oooh. M: I got over it. Thanks guys. W: NOOOOooooooo...
B: Yaaaaaaaaay B: Bob is king! W: noooo.... J: Kay, we're coming in. J: Coming in hot! B: There's a bunch of money on the ground! Everyone be cool... B: Put your collars on our I will murder you.
M: I got it! Got it! My collar's on! M: Collar's on! J: AH... I- M: Dont kill me collars on! B: which one of you fuckers doesn't have a collar... M: Collars on! B: One of you shitz doesn't have a collar M: Collars on! J: Ya I Cant pick it up... M: you know what Bob...
I'm gunna scout for you... ...If I see people commen after you... ...Imma let you know, Hows that?... ...Does that sound fair Bob? B: Sure J: Bob I think kill em' first M: Noo! B: Ya W: Ya B: Ya thats kinda...
J: Its always the right-hand man who deserts you M: Nu-nu-nu no, come on now ... Come on now, come on guys, come on guys J: Now we have nothing left to get, like... M: WAIT SOMEONE'S COMING IN BOB SOMEONE'S COMING IN. BOB SOMEONE'S COMING IN.
J: buhahaha M: Bob, your-your-... B: Where? M: ... Your fucked. B: Come in I fucking dare you J: I'm not even tra-- IM LOOKING FOR NEW SHIT.
M: Naw I'm not doing anything! N-no BOB!! AHH!! J: For fook'sake! M: Bob I, I hadda, I HADDA COLLAR! B: You were carrying a corpse! M: No I wasn't ;b *chuckles* J: God all'mighty M: uhhhh- J: I hate obeying you guys B: You just have to not be a scrub lord M: Ye dude W: YAA! SCUB LORD BAHAHAA. M: * HAHAHAAH* J: * HAHAHAAH* W: WHO'S THE SCRUB LORD NOW. J: King scrub lord M: alright... WHY!?!?!? B: This is horrible J: HEY! M: WHY!?!? J: HEY! HEY! HEY! M: *chuckles* why did you do that!? W: Because I'm the o- B: Are we crashing this bitch? B: Lets crash this bitch! M: Ya B: Lets fucking do this M: Theresa lota fuel.
Thats probably not good W: Theresa drop ship, bring me stuff! J: I can't see where I'm going! M: Alright, coming in! Coming in with supplies! W: You got something on you! J: Bye drop ship M: Coming in with supplies. WITH supplies!
J: Don't shoot me! B: Theresa a bunny... B: Wade, there's a bunny in a bush right here. M: ...What the fuck?...
B: You see me standing back here up to the left? B: Over here. B: There's a bunny in the bush right next to me, that red bush W: Ok B: Right there, theresa bunny J: ...Hiding on you B: He's fucking hiding B: I'm being good! See look, B: Boop J: AHAHAAA. M: Gosh jesus! B: FUCK. M: Jeee-hehe-zzuuuss W: NICE TRY.
W: One of you's coming for me and I don't trust ya M: Nu-nu no it's fine- J: We probably should've played the tutorial. M: -It's fine dude... NO NO. M: Tutorials are for asshole's and losers W: ALRIGHT GET BACK.
M: WOOOW I wasn't cl-... W: GET BACK. M: I wasnt close W: *Grunts* M: Alright M: Wade, I'm gunna be your scout. I'm your scout, I love you M: I love you W: why are there so many dr- J: Coming in hot M: Woow B: That sounds like the truth if i've ever heard it W: DISOBEY WADE IZLE, KILL THAT...
THING. M: Wade I love yo- J: I have items! J: I have items don't shoot me! B: Kill that bot fucker M: I love you J: I have items! You see me? J: Imma squeaker J: I have items W: Wait who? WHO'S DOWN THERE I CAN'T SHOOT YOU ANYMORE. W: NOO!!! M: No you're fine, you're fine Wade you're fine B: Haha, it's fine Wade M: Heh, you're fine J: I like how there's a big pile of corpses by the enterance M: Hehaha ya there's so many corpses at the base B: Wade there's nothing happening just realax M: Ya Wade, we got- M: WHY? WHY!? M: Jesus Crist J: MOTHER FUCKER. M: Fuck you asshole J: I didn't do anything M: Jeeezus M: So what we- So so here's the deal guys...
M: Imma place lights so they could see us better, so we could obey him better M: Commin' in hot! W: Woohoo M: Alright... M: Dont kill me Bob, don't kill me i'm placing lights for you look B: I should- I Should of bought some colours i'm a idiot M: Look look I'm- I'm putting lights down M: See where I am? I'm over to you're left... M: I'm putting a light right here J: lu-LIES. M: Whoops, naw hang on...
B: You have to set it up man M: There we go M: See? Ya got a light now B: Oh nice, nice M: I'm gunna set you up another light *Bob goes to speak* M: Wait. Follow me... B: Yey ya ya M: Wait, Bob, follow me I'm coming- J: Hi buddy! M: - on your left I'm coming close, but not too close M: I just wanna light by you so you always see this spot M: Riiight- J: I don't trust that Bob kill'em M: - Right there, woO WO. M: WO WO WOO I'M SETTING YOU UP LIGHTS.
B: I'm gunna shoot close to you, I'm not gunna shoot you. I just want you to know J: I have a obedience collar on Bob! B: nice! J: Do you love me most? B: Ya- M: Bob is that good? Is that good light? B: -Ya you're a good lil' bunny M: ... Good light. Do I get a reward? M: Wait! Bob reward me I-I...
I helped you B: Where are you? Is this you? M: Ya that's me B: Here ya go M: AHH! M: FUCK YOU! FUCK YOU. M: I HELPED YOU! I BELIEVED IN YOU! B: Hey, The auto-pay is cranked up right now so if you guys- W: thats really good B: -bring me alot W: Really Glad B: Ah shit! J: Uh-oh uh-oh- B: Fuck this! B: Crash it! Crash this bitch! Fuck it! B: Get over here W: Don't crash it! M: Bob I believed in you! M: And. You know what. Fuck you! M: Honestly- *All laugh* M: -Fuck you! W: are you guys bringing me money? B: What the FU- M: I'm bringin' you money...
W: Thank you M: Brought'cha money... W: GOOD rabbit *everyone talking at once* B: DON'T SERVE WADE, B: DON'T SERVE WADE HE'S-- W: BRING ME STUFFF. M: *giggling* B: Wade's a bastard! He kills you for no reason- W: Wh-How!? B: differently than me! W: How do I turn on auto pay? I wanna pay you. M: I think it's already on...
WHOA that guy just burned. That bunny just literally burned alive right next to me M: I don't- I have no idea why. W: oh, well sucks to suck for that guy didn't it. M: Oh geez.
Don't touch that corpse, it's burning! J: FUC- M: *laughing* GOD IT'S ON FIRE GUYS DON'T KEEP WALKING INTO THE FIRE. J: Well I wanted to okay?!? *Mark laughs in the background* M: This life sucks!!! W: Alright, alright, I bought a bunch of stuff on this next drop ship, M: Okay.. B: Wait, Wade, Wade, you just just asked in Voice Only how to turn on auto pay right? W: yeah...? B: Desbot just said "Wadeizzle: press D four times" W: *soflty* what..? J: THEY KNOW WHAT'S UP! W: There you go- J: THE JIG IS UP. W: Alright, there you guys go!! B: I'm so confused right now...
W: Grab all that stuff! B: I've already grabbed stuff- W: GRAAB ITT. M: I'm grabbing!! J: WHAT'RE YOU DOING?? B: Wade, if you endlessly kill us, we're obviously not-- W: I didn't kill anyone! B:--not going to help you. B: PAY ME. W: I did! It's right there.
J: WHOA. MONEY. M: *tries to say something* J: I LOVE that shit! W: Yeaaahh B: I fucking LOVE monayyy. M: *soflty over the chatter* Guys he hasn't noticed yet- J: Wade, you have like, wayyyy less money than us now because you just- J: Cranked it way up M: *chuckling* Guys.
He hasn't noticed yet B: *laughing hysterically* W: Haven't noticed what?? M and B: *both laughing* B: You're fucking broke!! M: *giggling* Wade, wade look at your money- *Bob and Mark both crack up* J: You've no money!! W: HOW DARE YOU ALL YOU'RE GONNA PAY FOR THIS *Wade starts shooting, everyone is laughing and/or yelling* W: YOU ALL DIEEEE. M: huahahhahahaha J: Fuck's sake- B: You know what? I was trying, now i'm just gonna fucking steal your thing B: and kill you 'cause you're an idiot- *Mark is still laughing* M: dude, W: You had auto pay on so high! What happened? W: I PRESSED THE D!!! *Everyone laughs* J: He wanted the D so bad!! M: *giggling* Why- why would you blame us for that?! W: I trusted you when you told me about the D! M: I didn't tell you about the D, it was the bot! It wasn't us! W: Can I shoot my own dropship?!? M: I mean, sure? B: Probably..
one inch? Mark: Yeah...
Jack: Yeah it seems- Bob: Kinda like...
Jack: Oh hey! Bob: You're kinda like a little hamster Bob: Oh hey what's up fellers? Mark: Oh hey- hey guys how's it goin'? Jack: Hello *laughs* Mark: What the fuck- hello Bob: Wait wait, wait everyone shut up Mark: Okay
Bob: Jack, jump! Jack: Wait I have to turn up my sound
because it's adorable Jack: Er, eh, wuh Bob: Okay, and Mark is this you then,
over here? Mark: Hup!
That's me! Bob: Where the fuck's Wade?
Wade: Are you guys close to the building?
Jack: Wade's over here, Wade turn right! Jack: We're over here! Jack: At the green thing! Mark: Wade, we're squeaking
Bob: Go towards the squeaking
Jack: Go left, left Mark: Make a left, make a left, make a left
Bob: Squeak furiously! Mark: NONONONO. Mark: Towards the building! NOOOO! WADE!
Jack: Over here! Wade: I see you, I'm on my way!
Mark: Okayyyy!
Bob: *uncontrollable laughter* Wade: Well Jack said go right, so I turned right! Jack: Yeah, not fucking 180 degrees! Wade: I went 90 degrees right! Bob: You did not, you were like Bob: It's like, "Go right" Bob: "Okay, this wayyy!" Bob: "No, go left!"
*Heavy laughter* Bob: "Okay, this wayy!!" Wade: I was looking at the building and went that way! Jack: We're extraordinarily cute, but fucking slow Mark: Yeah
Bob: Yes we are, I think that's part of the whole thing Wade: There's someone else here! Mark: I think that's probably fine
Wade: Let's fuck 'em up! Bob: Oh wait they're bots, they're bots, they're bots
Jack: Uh-oh... Wade: Oh God I'm drowning Mark: Ohh are we supposed to go towards the building or is that gonna kill us?
Wade: I think so Bob: I'm gonna go towards the building Mark: Alright Bob, you do that
Jack: I don't know what's happening Wade: Must obey! Jack: Somebody's just here, shoot 'em down
Bob: I, I.. I'm--
M: Holy shit Wade: Oh my god the building looks like a cow-pig! Bob: I'm just gonna say, I don't know much about this game
Jack: This is fucking haunting
M: Oh...
Mark: There's an ominous noi-OHHHH
Wade: AHHHHHHHHHHHHHHHHHHHHH
Jack: Jesus Christ! Fucking hell!
Bob: oOH HOOO HO HO OHHHHHH. Bob: OH HEYY
Wade: What? Mark: Wooooah! Wade: It's possible to crash the star ship?!
Mark: AGHH why?!
Bob: *surprised panicked noises*
Jack: Oh... Bob, Bob? Can you--?Ah Jesus Christ! Mark: Bob why did you do that?! Wade: "A balanced dropship is a happy ship"?
Bob: Oh my god I'm dy- everything I do kills you! Wade: Wait guys there's a balance, balance!
Mark: *laughs* Mark: Oh, we need to crash it Mark: We need to crash it; get over on this side
Bob: Wait, who is this? Mark: Guys, get over on this side
Bob: Who's...
Jack: Why do, why do we need to crash it? Mark: Because it said you need to crash to escape! Wade: But it says "A happy dropship..."
Jack: But it says "A balanced dropship is a happy dropship" Jack: We're all gonna die!! Wade: *shrieks*
Jack: Ahhh!
Mark: No, you seeee? Mark: Woooah...Oooh!
Jack: Okay what do we do, what did we get? Mark: I'm bringing...! *Laughs*
Bob: Bring me all that shit into the green box Mark: I'm bringing it!
Bob: Or I'll fucking murder you
Wade: How do you grab? Jack: Oh god, oh god, okay
Mark: *laughing* Mark: Oh jeezus!
Jack: We'll obey! Jesus Christ! Bob: OBEY ME!!!! Mark: Okay...
Jack: This is fuckin' terrifying! Wade: who's going back to the drop ship, but not carrying anything? Mark: It doesn't, it doesn't go up-- No, I'm not doing anything!
Bob: Hey! Hey. Heyyy...
Jack: Wait.
Where do we bring it? Jack: Where do we bring it? Bob: In the green box, right there
Mark: It's not doing it Bob: Nope nope nope Mark: It's not doing it
Jack: "You can only carry up to 3 items" Wade: Oh, right click
Mark: Right click, got it got it Jack: Ahhhh
Bob: Thank you Bob: Thank you, you know what? Money for you... Wade: Wait are you...?
Mark: Oh! Mark: We deposited something for no autopay; we probably shouldn't do that Mark: Hey, we demand FAIR PAY and FAIR WAGES!
*Chuckling* Bob: Hang on, hang on, right right right, right right Jack: Minimum wage please! Mark: I don't know...
Bob: "Action - Mouse 0" What is mouse zero?
Jack: Woooooo!!
Wade: Oh Bob: *panicked* Sorry, sorry, sorry, sorry, sorry, sorry, sorry!
Mark: Woah hohohohooo! My god!
Jack: Bob,-- oh Jesus Christ! Bob: Sorry, sorry! Sorry
Jack: Fucking hell! Jack: Relax!
Mark: Oh Jesus Wade: Erm, I think I'm carrying a missile?!
Bob: Everything is death! Bob: God sakes!
Mark: Hohohoho *All breathe* Wade: Don't shoot me, don't shoot me!
Bob: Alright, I need to--
Jack: Okay Jack: Okay, I don't know what's happening
Bob: Hang on, I'm looking-- Jack: "Can we have some obedience payment, Overlord Muyskerm?" Jack: The bot is asking you something
Bob: I'm, I'm working on it Bob: I-I...*Sigh* J: It's really terrifying that it looks like you have a face, two diddies and a dick W: "Two diddies"?
M: Heh, the gun is your girthy-- gAh OHHHH FUCK. M: What did I do?!
J: *laughter*
B: *short, surprised breaths* M: WHAT DID I DOOOO?!
J: *still laughing at Mark's death* J: You got too close!
M: I wasn't even close, I was around the side!
W: Ahhhhhhhhhh!
B: Oh, you're... I-- B: I didn't even do that, you ran into the electrical things B: I...
How do I fucking give you money? W: What do we-what even is this?
B: Oh! Oh, hey wait B: Hey, who's this? Hey, you here.
J: Me! It's me! J: It's Jack!
B: It's you, that's you? J: Oh gee, that's not good
B: Money B: Money for you! Nonono, stay still, stay still B: I figured it out, money for you B: Now you have money. Maybe.
J: Do I? J: I do! I have $37 J: Ooh $373! Bob--
B: There's some money on the ground. Go get it Jack, I gave you money. Alright, everyone...
M: Yeah I have $314, $315... J: Oh, dropship B: Alright, get the dropship stuff and bring it to Bob
W: Yeah... WoOOOOO!
M: Ok, AHHHH! Heh heh B: I know how to give you money now M: Bring it to Big Daddy Bob
J: Oh my god J: Look at all this shit
B: Bring it right there M: I'm bringing it! I'm bringing it!
W: We're bringing it Bob!
B: Right there M: We're bringing it!
W: We're bringing it! *Mark and wade sob*
J: *giggles*
B: Good job! Good job everybody B: Here, I'll put some money down for you, good job everybody
J: Thanks W: Thank you Bob B: There's some money-
J: Thank you Overlord Bob B: Here you go, here you go fellas M: Ooooooh!
B: There's some money for ya M: Oh thank you! J: Money, money, money, money
B: Bring it all right there, if you would please W: Yeah w-we're bringing it B: Hey, whoever's still carrying shit, you fucking bring that before you get money, alright?
M: I'm bringing it... I, I'd just-! M: That was on my second pass; I was bringing more!
J: Haha ha
W: YEAH!
B: I, I gave you-- W: We made two trips!
B: I gave you money, I gave you money, I gave you money
J: Wait, how do we buy shit? B: You don't buy shit, I buy shit
J: I think you buy it on the dropship B: I buy it
M: Ohh W: You buy stuff with OUR money? B: No, I have my own money
J: There were prices on the dropship when I looked inside it W: Yeah but we have money too B: Yeah so, I wasn't gonna say this until I had a really substantial lead...
B: Your goal is to take over this tower from me, just FYI. W: Well yeah, but how? We can't get close!
J: How?
M: Well how do we do that? B: You have to walk in the front door, sneaky sneaky like J: This is fuckin'-- Oh, ahHAHAHAH
W: I don't know how we do that
B: Sneakier than that! M: Like this?
B: Oh shit! B: Oh god!
J: Yeah sneaky like- BOOOOM. M: *still heartily laughing*
W: *shrieks*
B: Goddammit J: See, wait, look! B: Wait, so we should crash the dropship, everyone crash it. Fuck this
J: Look here! It gives us places B: Don't let Mark get all these resources, fuck it B: Crash the dropship J: OH GOD! FUCK! JESUS CHRIST!
W: Uh--OH NOO! I wanted to buy...Oh
M: *laughing* W: Wha- I'M BACK HERE AGAIN!!!
B: OH MY GOD.
M: *giggly bitch* J: There's a buncha shit in here! B: Holy...
M: *bellows* GIVE ME RESOURCES.
W: Oh, nooo!
*All laughing* B: Holy. Fucking. Shit.
M: Oh my god W: What have we done?!
M: I don't know! *Laughs*
B: Yeah, why did we let...
J: Why do I have... J: I have like, no money anymore! M: Yeeeah, what the fuck? M: Alright so, alright
J: What is this crap?
W: You bought something M: Alright Bob, tell me what I'm s'pposed to do B: Okay basically every button except for "V" is murder B: You hold V to put little pointers on the map B: And to give out money to people M: V doesn't seem to do that for me
J: Oh wait! J: Mark's in the thing now? OHHH we're floating
B: Or C, it might've been C.
B: It might have been C, it might have been C. J: Ohhh we're floatin' M: Oh you're right it's C
W: Crash the ship! W: Crash the--!
J: Oh we've got a significant imbalance-- M: Woah oh *breaks into laughter*
W: Oh god!
J: Jesus Christ! M: Oh, Bob made it in
J: Fuckin' hell!
B: Did you guys... J: Okay!
B: Did you guys crash my ship? B: Hey look, get that stuff, I'm back in control, I'm not gonna murder you, I'll give you MONEY
J: Ok
M: Ha hah ha M: Ohh, okay, alright B: I will give you many moneys
J: Thank you, thank you Overlord Bob--
M: Bob B: I am a benevolent overlord
J: YOU JUST KILLED ME. B: I did not! You got too close to the laser thing M: Bob!
J: Which means you killed me! J: I will say, it's very pretty
W: Wait, what are these metal pieces going in?
M: Bob!
B: Here.
Money. Money. B: Money! What?
M: I have an obedience collar, do you need money?
J: Hey, I'm so far away! B: Umm, you can put the collar on, that'd be fine M: Okay, it's already on, I got it B: Eh-Wait, who's this- B: Who's this person who doesn't have a collar? B: Who the fuck is that? B: You. B: You! J: I-I'm comin'! J: I need an obedience collar! J: You killed me and now I'm all the way over here
M: I'm dropping off, don't worry! I'm dropping off! M: Don't kill me, don't kill me
J: Oh, wait, wait! J: I got it, I got it
M: There you go!
B: Good job, you guys B: I'll give you money, my little servants
M&W: Thank you! W: Thank you
J: Give ME money! J: I have, like, no money anymore
M: Ah...
B: You gotta give me-
W: Thank you B: You've gotta drop me shit- hey, who's this? B: Who's this?
M: Eh B: Who is that shit with no obedience collar?
J: Not me! B: Who are you? M&J: *laughing* B: I will fucking end you!
J: You can't put money ON the drop thing, we can't get that! B: Oh, sorry, I'll put some more B: I'm rich, so it's fine B: Here you go, friend
M: Comin' back! M: Woooahh
B: Ah! Shitsnacks B: Who just-- oh
J: FUCKING JESUS CHRIST!
M: WAAAAAGGGHH
W: HEY BOB!! B: *laughing* W: HEEEYY
B: *giggly* Wade
M: nO, I'M...WADE! DON'T KILL ME.
M: I'M DROPPING OFF, I'M DROPPING OFF!!
J: Oh god W: Alright
M: I'M DROPPING OFF!
B: Alright, Wade M: THANK YOU
J: This is fucking terrifying!
B: I- M: *freaking out* I'm putting on an obedience collar!
W: *laughing* GET ME STUFF
B: *laughs* M: I PUT IT ON
J: *laughs*
B: Wade, I'm the one that's far away, I have a collar on J: *shhh*
B: Don't kill me, I bring you resource B: I am here, I bring you resource
M: I bring- I bring you everything you want M: I give you BEST resource
W: You better! M: Oh, resource gonna taste so GOOD
B: I was g-oh, shit, how do I get B: How do I pick stuff up? Okay, there we go M: Ooh
W: I don't know how to do anything here, W: but don't take that as a- M: AH!! WHYY?! W: Oh M: What did I do?!
B: *laughing* M: I GAVE...
W: I wanted to see what would happen!
J: *laughs* M: I GAVE YOU RESOURCES!
B: Wade, if you, if you push- W: Oh, well...
B: OH MY FUCK
J: GET REKT BITCH. W: Hi Jack!
M: Ohhohoho, noo J: Oh, GOD, this is scary J: DIEEEE MOTHERFUCKERS
B: No, no no, NO NO NO!
M:NOOO!!!
W: WHAAAT, OHHHH. M: I'M GETTING YOU SHIT! B: I have an obedience collar!
J: Who's over here? W: *shrieks*Jack!
B: I'm doing it!
J: Who's over here?! W: *shrieks*JACK!
M: I'm just getting you shit (x3)
B: Jack, don't be like that! I'm doing it, look, look B: I have a collar
M: I love you B: I have a collar, I'm going
J: Okay B: That person doesn't have a collar
J: Ok, who's coming in, who's coming in J: Who're those two?
B: That- this person right here
M: I DIDN'T HAVE A COLLAR. M: THERE WAS NO COLLAR AROUND HERE.
M: GIVE ME YOUR DAMN COLLAR
B: You just- M: GIVE ME YOUR COLLAR
B: You just put one in the machine, you dumb! M: NO I DIDN'T, I DIDN'T HAVE ONE ON
J: Okay okay okay B: Oh no! I just deposited my collar, I'm sorry B: I'm sorry Overlord
M: See! He-he-he's
J: It's okay, it's okay, have some money! J: Have some money!
M: He's a betrayer
B: Ooh, ooh, money! J: Yeah!
M: Heh, Jackieboy's the worst overlord I've ever seen
W: Heyy Jack! W: UHH
M: Don't kill! M: I've got goodies for you! M: Kill AFTER I deposit the goodies-
W: DON'T KILL, KEEP ALIVE- W: AHHH!!!
J: OH! OHHH!!
B: *giggling* Ohhh my god!
M: *AFTER* I DEPOSIT THE GOODIES. M: Jesus!
J: I didn't know what it did!
B: *laughing* M: IT KILLS!
J: I- I'm sorry! B: Here, I'll finish the job that these-
W: You murdered the shit out of me! B: I'll finish the job that this traitor was incapable of doing
J: Ohh! I'm autopaying you, look! B: Oh, shitsnacks! B: Autopay is the best B: How'd you do that?
W: Bob, you've got so much money!
J: You just press D. B: Yeah, I-I took a substantial lead before I told you guys the rules of the game, sorry J: Okay, nothing can be purchased until the drop ship is purchased J: Ohh, okay
W: Yeah, you gotta- W: How do you earn money if you can't get a drop ship? J: Yeah, I don't have $15,000! B: Well if you let me take control, I'll buy a drop ship B: Since I'm rich
M: HA-HA! J: aHahaa, I knew someone was gonna sneak in!
M: *giggles* B: Alright Mark, so you gotta buy a drop ship first- M: How do I do that?
B: -but you don't have money for that B: P, I think it said, was drop ship
J: P, yeah W: You have money, he's got $18,000
J: it's at the top of your screen J: Whoa, that's a terrifying light
M: Wait... You guys...
M: You guys need to put on your obedience collars!
J: Shine it on me again! B: I'm working on it
J: I got it! B: I'm workin' on it!
J: Ahh! W: I-I just deposited mine M: Did you? M: In which depository? B: *laughs*
J: I'm over here! J: There's an obedience collar over here, who needs it?
W: I'm right here, I'm right here, this is me! M: Where?
W: I deposited-ed-ed right here M: Ohh, okay
J: I have two! J: I have two
M: I see you guys M: I see you M: Where you guys goin- M: Who's tryin' to sneak in?! B: Are you gonna order stuff or what M: How do I do that B: You hit the numbers, and then, B: and you have to buy a dropship first J: Middle of... The top middle of your screen B: But then you hit the numbers that it says on the top of the screen M: Okay got it! Dropship on route J: Yeah go in to the purple flame, it gives you like.. Money M: Does it? M: Wait! I see- M: Who's over there, Who's over there! M: Who's over there!! AH! J: What the fuck! M: Who's over there!!! B: *laughing* M: Who's doing that!! M: I saw that! B: I think you're going crazy Mark M: Nonononono! M: I-i-i know there's treachery M: I KNOW there's treachery M: Alright, don't deposit the collars M: Keep the collars on B: Mark can you buy me a collar i'm in the dropship dude you may have killed me M: whoooo's there B: You killed me M: Too close for COMFORT. W: *inaudible "whooh!"* J: Christ that scared me W: Yeah it is J: stop obeying bunniplier B: Alright everyone, everyone, everyone, everyone uhh..
Oh hey collar gimme that B: aw i can't pick it up in the dropship B: Hey should we crash this fucker M: no no no B: Fuck Mark B: let's crash this bitch M: i'm watching you guys J: i still don't understand this game * laughs * M: * laughs * B: so the point is to get money B: when you're, when you're the overlord you passively get money J: you have 63 hundred dollars (6,300) J: or cents i guess... B: shhhhhhhh... W: Hey i also learned something else M: yeah? W: depositing corpses hurts.... You B: * laughs * M: Wait WHAT?!?! B: ohh that's cool M: I'm at negative 15 hundred dollars!! (-1,500) B: Oh my god!!! HA HA.
M: Fucking.. DON'T YOU DARE. J: AH! Jesus christ! M: *goofy laughter*
B: Jack! Jack let's crash it! B: Let's crash it, quick! Come over here! J: I'm trying!
M: *more goofy laughter* B: Fuck this drop ship! J: OK Am I-Am I on your head? AAAAH GOD! B: Alright whatever
M: You guys better get me some money M: Cause I am REALLY hurtin.
B: Look, I put my collar on B: I put my collar on, this is fine M: Good, yeah, sure, OK. M: I see you hiding in that bush! M: Who's hiding in a bush?! M: I see yoooohoohoohoo *giggling*
J: *giggle* B: Do you have auto-pay on or what, are you gonna pay me for this shit? M: I-I don't know, I have no money how can I pay? M: nO THAT'S A CORPSE.
W: *giggling*
B: Hey, where...Where'd that corpse go? Everyone: *giggles* J: He made a new corpse with the other corpse B: *laughter*
M: Whaddaya doin? Whadday doin? Whaddaya doin?!
I SEE YOU IN THAT BUSH!! M: NO!! B: OHOHOH MY GOD *LAUGHTER*
M: *maniacal laughter*
W: Jesus... B: Yeah Mark doesn't have shit. M: You guys ca-WHAT the FUCK?! J: Jesus fuckin christ! B: Oh my god... M: Oh geeze
J: Yay now we're on the drop ship again
B: The bot-The bot is now in charge M: Oh shit that's not good
W: *SCREAMING* Everyone: *is dying* J: Good sound, good sound.
M: Good, good, good, I like this. OK. Alright. J: We need to crash this, we'll have to wait
20 seconds otherwise.
M: Alright, ok, alright. J: Crash it everybody up...Somewhere. M: We gotta pile up on one side.
Bob: We got get in and crash the shit out of this. M: I got it.
B: You can do it.
Mark: Oooh. M: I got over it. Thanks guys. W: NOOOOooooooo...
B: Yaaaaaaaaay B: Bob is king! W: noooo.... J: Kay, we're coming in. J: Coming in hot! B: There's a bunch of money on the ground! Everyone be cool... B: Put your collars on our I will murder you.
M: I got it! Got it! My collar's on! M: Collar's on! J: AH... I- M: Dont kill me collars on! B: which one of you fuckers doesn't have a collar... M: Collars on! B: One of you shitz doesn't have a collar M: Collars on! J: Ya I Cant pick it up... M: you know what Bob...
I'm gunna scout for you... ...If I see people commen after you... ...Imma let you know, Hows that?... ...Does that sound fair Bob? B: Sure J: Bob I think kill em' first M: Noo! B: Ya W: Ya B: Ya thats kinda...
J: Its always the right-hand man who deserts you M: Nu-nu-nu no, come on now ... Come on now, come on guys, come on guys J: Now we have nothing left to get, like... M: WAIT SOMEONE'S COMING IN BOB SOMEONE'S COMING IN. BOB SOMEONE'S COMING IN.
J: buhahaha M: Bob, your-your-... B: Where? M: ... Your fucked. B: Come in I fucking dare you J: I'm not even tra-- IM LOOKING FOR NEW SHIT.
M: Naw I'm not doing anything! N-no BOB!! AHH!! J: For fook'sake! M: Bob I, I hadda, I HADDA COLLAR! B: You were carrying a corpse! M: No I wasn't ;b *chuckles* J: God all'mighty M: uhhhh- J: I hate obeying you guys B: You just have to not be a scrub lord M: Ye dude W: YAA! SCUB LORD BAHAHAA. M: * HAHAHAAH* J: * HAHAHAAH* W: WHO'S THE SCRUB LORD NOW. J: King scrub lord M: alright... WHY!?!?!? B: This is horrible J: HEY! M: WHY!?!? J: HEY! HEY! HEY! M: *chuckles* why did you do that!? W: Because I'm the o- B: Are we crashing this bitch? B: Lets crash this bitch! M: Ya B: Lets fucking do this M: Theresa lota fuel.
Thats probably not good W: Theresa drop ship, bring me stuff! J: I can't see where I'm going! M: Alright, coming in! Coming in with supplies! W: You got something on you! J: Bye drop ship M: Coming in with supplies. WITH supplies!
J: Don't shoot me! B: Theresa a bunny... B: Wade, there's a bunny in a bush right here. M: ...What the fuck?...
B: You see me standing back here up to the left? B: Over here. B: There's a bunny in the bush right next to me, that red bush W: Ok B: Right there, theresa bunny J: ...Hiding on you B: He's fucking hiding B: I'm being good! See look, B: Boop J: AHAHAAA. M: Gosh jesus! B: FUCK. M: Jeee-hehe-zzuuuss W: NICE TRY.
W: One of you's coming for me and I don't trust ya M: Nu-nu no it's fine- J: We probably should've played the tutorial. M: -It's fine dude... NO NO. M: Tutorials are for asshole's and losers W: ALRIGHT GET BACK.
M: WOOOW I wasn't cl-... W: GET BACK. M: I wasnt close W: *Grunts* M: Alright M: Wade, I'm gunna be your scout. I'm your scout, I love you M: I love you W: why are there so many dr- J: Coming in hot M: Woow B: That sounds like the truth if i've ever heard it W: DISOBEY WADE IZLE, KILL THAT...
THING. M: Wade I love yo- J: I have items! J: I have items don't shoot me! B: Kill that bot fucker M: I love you J: I have items! You see me? J: Imma squeaker J: I have items W: Wait who? WHO'S DOWN THERE I CAN'T SHOOT YOU ANYMORE. W: NOO!!! M: No you're fine, you're fine Wade you're fine B: Haha, it's fine Wade M: Heh, you're fine J: I like how there's a big pile of corpses by the enterance M: Hehaha ya there's so many corpses at the base B: Wade there's nothing happening just realax M: Ya Wade, we got- M: WHY? WHY!? M: Jesus Crist J: MOTHER FUCKER. M: Fuck you asshole J: I didn't do anything M: Jeeezus M: So what we- So so here's the deal guys...
M: Imma place lights so they could see us better, so we could obey him better M: Commin' in hot! W: Woohoo M: Alright... M: Dont kill me Bob, don't kill me i'm placing lights for you look B: I should- I Should of bought some colours i'm a idiot M: Look look I'm- I'm putting lights down M: See where I am? I'm over to you're left... M: I'm putting a light right here J: lu-LIES. M: Whoops, naw hang on...
B: You have to set it up man M: There we go M: See? Ya got a light now B: Oh nice, nice M: I'm gunna set you up another light *Bob goes to speak* M: Wait. Follow me... B: Yey ya ya M: Wait, Bob, follow me I'm coming- J: Hi buddy! M: - on your left I'm coming close, but not too close M: I just wanna light by you so you always see this spot M: Riiight- J: I don't trust that Bob kill'em M: - Right there, woO WO. M: WO WO WOO I'M SETTING YOU UP LIGHTS.
B: I'm gunna shoot close to you, I'm not gunna shoot you. I just want you to know J: I have a obedience collar on Bob! B: nice! J: Do you love me most? B: Ya- M: Bob is that good? Is that good light? B: -Ya you're a good lil' bunny M: ... Good light. Do I get a reward? M: Wait! Bob reward me I-I...
I helped you B: Where are you? Is this you? M: Ya that's me B: Here ya go M: AHH! M: FUCK YOU! FUCK YOU. M: I HELPED YOU! I BELIEVED IN YOU! B: Hey, The auto-pay is cranked up right now so if you guys- W: thats really good B: -bring me alot W: Really Glad B: Ah shit! J: Uh-oh uh-oh- B: Fuck this! B: Crash it! Crash this bitch! Fuck it! B: Get over here W: Don't crash it! M: Bob I believed in you! M: And. You know what. Fuck you! M: Honestly- *All laugh* M: -Fuck you! W: are you guys bringing me money? B: What the FU- M: I'm bringin' you money...
W: Thank you M: Brought'cha money... W: GOOD rabbit *everyone talking at once* B: DON'T SERVE WADE, B: DON'T SERVE WADE HE'S-- W: BRING ME STUFFF. M: *giggling* B: Wade's a bastard! He kills you for no reason- W: Wh-How!? B: differently than me! W: How do I turn on auto pay? I wanna pay you. M: I think it's already on...
WHOA that guy just burned. That bunny just literally burned alive right next to me M: I don't- I have no idea why. W: oh, well sucks to suck for that guy didn't it. M: Oh geez.
Don't touch that corpse, it's burning! J: FUC- M: *laughing* GOD IT'S ON FIRE GUYS DON'T KEEP WALKING INTO THE FIRE. J: Well I wanted to okay?!? *Mark laughs in the background* M: This life sucks!!! W: Alright, alright, I bought a bunch of stuff on this next drop ship, M: Okay.. B: Wait, Wade, Wade, you just just asked in Voice Only how to turn on auto pay right? W: yeah...? B: Desbot just said "Wadeizzle: press D four times" W: *soflty* what..? J: THEY KNOW WHAT'S UP! W: There you go- J: THE JIG IS UP. W: Alright, there you guys go!! B: I'm so confused right now...
W: Grab all that stuff! B: I've already grabbed stuff- W: GRAAB ITT. M: I'm grabbing!! J: WHAT'RE YOU DOING?? B: Wade, if you endlessly kill us, we're obviously not-- W: I didn't kill anyone! B:--not going to help you. B: PAY ME. W: I did! It's right there.
J: WHOA. MONEY. M: *tries to say something* J: I LOVE that shit! W: Yeaaahh B: I fucking LOVE monayyy. M: *soflty over the chatter* Guys he hasn't noticed yet- J: Wade, you have like, wayyyy less money than us now because you just- J: Cranked it way up M: *chuckling* Guys.
He hasn't noticed yet B: *laughing hysterically* W: Haven't noticed what?? M and B: *both laughing* B: You're fucking broke!! M: *giggling* Wade, wade look at your money- *Bob and Mark both crack up* J: You've no money!! W: HOW DARE YOU ALL YOU'RE GONNA PAY FOR THIS *Wade starts shooting, everyone is laughing and/or yelling* W: YOU ALL DIEEEE. M: huahahhahahaha J: Fuck's sake- B: You know what? I was trying, now i'm just gonna fucking steal your thing B: and kill you 'cause you're an idiot- *Mark is still laughing* M: dude, W: You had auto pay on so high! What happened? W: I PRESSED THE D!!! *Everyone laughs* J: He wanted the D so bad!! M: *giggling* Why- why would you blame us for that?! W: I trusted you when you told me about the D! M: I didn't tell you about the D, it was the bot! It wasn't us! W: Can I shoot my own dropship?!? M: I mean, sure? B: Probably..
Thursday, July 26, 2018
GHS Swamp Rabbit 5K draws large field
BEEN RELEASED. >> BREAKING NEWS OUT OF MAULDIN. RIGHT NOW. A COUPLE OF TEENAGE BROTHERS.
WERE SHOT AT. IT HAPPENED AROUND 8:40. POLICE SAY 22-YEAR-OLD AMBER. NICOLE GREECE W SHOT.
-- AMBER MICOLE REESE FIRED. SEVERAL SHOTS AT THE TEENS -- WHO WERE IN ANOTHER CAR. THE TEENS WERE NOT HARMED, BUT. THE FATHER SAYS IT WAS A CLOSE.
CALL. THEY -- YOU CONFIRMED THERE ARE. LIKEWISE THEY NO BULLET HOLES IN. THE VEHICLE AND THERE ARE.
CLEARLY NO BULLET HOLES IN MY. BOYS. BUT THANK GOD THEY'RE A BAD. SHOT.
I MEAN, IF YOU CAN'T HIT A. MINIVAN AT POINT BLANK, THANK. YOU GOD THAT THESE LUNATICS WERE. A BAD SHOT.
MICHAEL POLICE SAY REESE WAS. : ARRESTED AT RIDGE ROAD IN. GREENVILLE LATER TODAY. TONIGHT SHE HAS BEEN CHARGED.
WITH ATTEMPTED MURDER. CAROL NOW TO BREAKING NEWS OUT. : OF NASHVILLE, TENNESSEE. COUNTRY MUSIC STAR LORETTA LYNN.
HAS BEEN TAKEN TO THE HOSPITAL. AFTER SUFFERING A STROKE. ACCORDING TO HER WEBSITE SHE IS. RESPONSIVE AND EXPECTED TO MAKE.
A FULL RECOVERY. LYNN IS BEST KNOWN FOR HER. 1960'S CLASSIC HITS "COAL. MINER'S DAUGHTER" AND ''YOU.
AIN'T WOMAN ENOUGH." WE WILL OF COURSE KEEP YOU UP TO. DATE ON ALL THESE BREAKING. STORIES ON-AIR AND ON WYFF 4 MOBILE APP. JOHN: NO THUNDERSTORMS ACROSS.
THE AREA WITH THE STORM SYSTEM. VERY ISOLATED. JUST A LOT OF WIND OR THE MOST. PART.
REALLY, THAT WAS ABOUT IT. ONE IN ANDERSON AND ONE AROUND. THE MAULDIN AREA. WE CONTINUE TO ROTATE THE.
SHOWERS THIS EVENING AND ONCE. THE SUN WENT DOWN -- WENT DOWN. SO DID THE SHOWERS. A LITTLE BIT OF PINK AND WHITE.
RAIN AND SNOW POSSIBLE IN THE. HIGHEST ELEVATIONS ALONG THE. TENNESSEE LINES. NO MITCHELL, GRANDFATHER.
MOUNTAIN AND MAYBE EVEN BEACH. MOUNTAIN COULD SEE SNOW TONIGHT. AND ALSO SATURDAY NIGHT INTO. SUNDAY MORNING.
IT IS GOING TO BE DOWNRIGHT. CHILLY WHEN YOU WAKE UP. MICHAEL: IN STATE OF ADDICTION. TONIGHT, AMONG NEW HEROIN USERS.
THREE OUT OF FOUR SAY THEY. ABUSED PRESCRIPTION OPIOIDS. BEFORE TURNING TO HEROIN. THAT'S FROM THE CENTERS FOR.
DISEASE CONTROL. CAROL THE CDC ALSO SAYS THE. : NUMBER OF OPIOID PRESCRIPTIONS. SOLD HAS MORE THAN QUADRUPLED.
SINCE 1999. I HAVE MORE ON THE DRIVE TO. EDUCATE THOSE WHO WRITE THE. PRESCRIPTIONS AND THOSE WHO USE.
THEM. >> LIFE IS DISHING UP SOMETHING. SWEET FOR BRIAN THESE DAYS. A MANAGEMENT JOB AND A CHANCE AT.
LIFE FREE OF ADDICTI CAR. ACCIDENTS AND A BACK INJURY. STARTED THE PAIN KILLERS WHEN HE. WAS A TEENAGER.
>> AND WHEN I TOLD MY DOCTOR, HEY, I'M LIKING THIS STUFF HE. TOOK ME OFF EVERYTHING. >> HE SAID BY LAW HE'S SCARED. THAT YOU KNOW HE'S KEEPING MY.
ADDICTION GOING SO HE STOPPED. 13:48:09 I WENT INTO MASSIVE. WITHDRAWAL. AND THEN I WENT TO A BUDDY OF.
MINE WHO SAID, HEY I CAN GET. THESE FROM A GUY DOWN THE ROAD. AND THESE TURNED INTO MULTIP. PRESCRIPTIONS, DR.
SHOPPING, HEROIN, THE WHOLE SPECTRUM. >> IN THE FACE OF MORE STORIES. LIKE BRIAN'S, THE CENTERS FOR. DISEASE CONTROL PUBLISHED.
GUIDELINES FOR DOCTORS ON. PRESCRIBING OPIOIDS. AMONG THE HIGHLIGHTS OPIOIDS. , SHOULD NOT BE THE FIRST LINE.
OF TREATMENT. DISCUSS THE BENEFITS AND RISKS. OF OPIOIDS WITH PATIENTS, HE IS. NO MORE THAN NEEDED, AND.
RE-EVALUAT -- USE NO MORE THAN. NEEDED, AND REEVALUATE THE PAIN. IN FOUR WEEKS. THE NEW GUIDELINES CAME OUT IN.
MARCH OF 2016. AT THE RECENT PRESCRIPTION DRUG. AND HEROIN SUMMIT IN ATLANTA THE. CDC ROLLED OUT MORE RESOURCES TO.
HELP DOCTORS TRALK TO PATIENTS. ABOUT OPIOIDS. >> WHICH ONE WOULD MOST PEOPLE. CHOOSE? >> INCLUDING INTERACTIVE.
SIMULATIONS OF PATIENTS AND. DOCTORS TALKING ABOUT PAIN AND. REMEDIES. CLERKS WE KNOW THAT STATE.
-- >> WE KNOW THAT STATE MEDICAL. SOCIETIES ARE OFFERING MORE AND. MORE COURSES SO THAT IS A. CRITICAL PIECE OF THIS AND.
PHYICIANS ARE ENHANCING THEIR. EDUCATION AND TRAINING. >> AND THERE'S EDUCATION ENOUGH. FOR EVERYONE ON PILLS, ON DETOX, ON RECOVERY.
>> I ALWAYS SAID, BEFORE I GOT. INTO RECOVERY, THAT AA AND NA. ARE FOR QUITTERS. NO.
IT'S FOR THE PEOPLE WHO WANT TO. SURVIVE TO WANT TO STOP DOING. THE DAY TO DAY OF THAT WRETCHED. LIFE.
>> INSTEAD CHOOSING A NEW FULL. , SUITE LIFE. SOME OF THE EXPERTS WE TALKED. WITH SAID IT'S A GOOD IDEA FOR.
PATIENTS TO BE FAMILIAR WITH THE. NEW OPIOID GUIDELINES TOO. IF YOU'D LIKE TO SEE THEM JUST. GO TO CDC.GOV AND LOOK UP.
GUIDELINES FOR PRESCRIBING. OPIOIDS. MICHAEL NEW HAMPSHIRE POLICE SAY. : PRESTON THORPE HAS BEEN.
ARRESTED. YOU MAY REMEMBER THIS CASE. THERE WAS A NATION WIDE MANHUNT. FOR HIM, BECAUSE OF AN EXTREMELY.
POWERFUL DRUG. POLICE SAY HE WAS IN POSSESSION. OF CARFENTANIL. THAT IS A SYNTHETIC OPIOID.
THEY SAY HE WAS TAKEN INTO. CUSTODY AT A HOTEL IN MANCHESTER. NEW HAMPSHIRE. POLICE SAID AN ANONYMOUS CALLER.
TIPPED THEM OFF. AND THEY SAY A SEARCH OF HIS. APARTMENT TURNED UP TRACE. AMOUNTS OF CARFENTANIL.
THE DRUG WAS CREATED TO. TRANQUILIZE LARGE ANIMALS. EVEN ELEPHANTS. OFFICIALS SAY IT'S 100 TIMES.
MORE POTENT THAN FENTANYL, AND. 5,000 TIMES STRONGER THAN. HEROIN. THE DRUG HAS BEEN LINKED TO.
THREE OVERDOSE DEATHS IN NEW. HAMPSHIRE. CAROL HAPPENING NOW, 42-YEAR-OLD. : DAVID JEROME BUTLER, TONIGHT.
REMAINS ON THE RUN, DEPUTIES. SAY, HE SHOT INSIDE THE YANFENG. MANUFACTURING PLANT THIS. MORNING, INJURING TWO PEOPLE.
DEPUTIES HAVE NOT SAID IF THOSE. TWO PEOPLE WERE SHOT, JUST THAT. THEY HAVE NON-LIFE THREATENING. BUTLER HAS A CRIMINAL HISTORY.
INJURIES. BUTLER HAS A CRIMINAL HISTORY. BURGLARY POSSESSION VOLUNTARY. MANSLAUGHTER, BUT WE SPOKE WITH.
HIS WIFE THIS AFTERNOON WHO. SAYS, THAT MAN, IS NOT THE ONE. SHE MARRIED. SHE SAYS, HE IS KIND, LOVABLE.
AND NON-VIOLEN. SHE SAYS DEPUTIES TOLD HER, BUTLER DID NOT SHOOT ANYONE, INSTEAD DROPPED THE GUN, WHICH. THEN FIRED. >> I TALKED TO HIM AT 4:00 THIS.
MORNING AND WE WERE ON THE PHONE. LAUGHING ABOUT WHAT I WAS GOING. TO COOK FOR BREAKFAST WHEN HE. CAME HOME.
CAROL ANYONE WITH INFORMATION. : ABOUT HIS WHEREABOUTS IS ASKED. TO CALL 68-CRIME, OR THE LAURENS. COUNTY SHERIFF'S OFFICE.
MICHAEL: IN OCONEE COUNTY, WE. LEARNED MORE TODAY ABOUT THE. DEATH OF A WOMAN REPORTE. MISSING LAST MONTH, AND LATER.
FOUND IN A STORAGE BUILDING. THE CORONER SAYS REBECCA CAWTHON. HAD BEEN SHOT SEVERAL TIMES. INCLUDING TO THE HEAD AND CHEST.
DEPUTIES SAY HER HUSBAND LEE. CAWTHON ADMITTED TO KILLING HER. THE CORONER SAYS REBECCA CAWTON. DIED APRIL 17 OR 18TH.
LEE CAWTHON FACES SEVERAL. CHARGES, INCLUDING MURDE. CAROL A U.S. NAVY SEAL WAS.
: KILLED IN SOMALIA. IT IS THE FIRST U.S. MILITAY. COMBAT DEATH THERE IN MORE THAN.
2 DECADES. THE NAVY SEAL WAS KILLED DURING. AN OPERATION AGAINST THE. EXTREMIST GROUP AL-SHABAB.
2 OTHER SERVICE MEMBERS WERE. WOUNDED. THE OPERATION TOOK PLACE. YESTERDAY NEAR THE TOWN OF.
BARIL. U.S. TROOPS ARE IN THE AFRICAN. NATION, TO ADVISE AND ASSIST.
SOMALIA'S ARMY. THE ATTACK COMES AS U.S. TROOPS. ARE RETURNING TO SOMALIA FOR THE.
FIRST TIME SINCE 1993. YOU MAY RECALL 18 SPECIAL FORCES. DIED FIGHTING MILITIAS IN. MOGADISHU.
A BATTLE DRAMATISED IN THE FILM. BLACK HAWK DOWN. TO CHARLES AND KNOW WHERE POLICE. HAVE A MYSTERY ON THEIR HANDS.
AFTER THEY FOUND A SEVERED HUMAN. FOOT. POLICE SAY THEY FOUND IT INSIDE. THIS SHOE MONDAY AT THE.
CHARLESTON MARINA. THAT IS ACCORDING TO AN INCIDENT. REPORT IT WAS SITTING ON THE. DOCK FOR SIX DAYS BEFORE IT WAS.
REPORTED TO POLICE. THE CORONER HASN'T CONNECTED IT. WITH ANY MISSING PERSON OR. ACCIDENTS.
IF YOU HAVE ANY INFORMATION. ABOUT THIS CASE YOU ARE ASKED TO. CALL POLICE. MICHAEL STATE REPRESENTATIVE.
: HAROLD MITCHELL OF HOUSE. DISTRICT 31 TOLD US THIS. AFTERNOON, HE'S STEPPING DOWN. HE SAYS HE MADE THE DECISION.
AFTER VISITING WITH SEVERAL. DOCTORS FOR HEADACHES, STRESS, AND BLOOD PRESSURE ISSUES. MITCHELL SAYS STEPPING AWAY WILL. GIVE HIM THE TIME HE NEEDS TO.
FOCUS ON HIS HEALTH AND HIS. FAMILY. CAROL YOU COULD SOON PAY MORE AT. : THE PUMP TO RAISE MONEY TO.
REPAIR SOUTH CAROLINA'S. CRUMBLING ROADS. TODAY A LEGISLATIVE PANEL. , TENTATIVELY AGREED TO INCREASE.
THE STATE'S GAS TAX BY IT. $.12 OVER SIX YEARS. IT ESSENTIALLY ADOPTS THE. SENATE'S VERSION ON THE GAS TAX, WITHOUT AN INFLATION FACTOR.
HOUSE MEMBERS SAID THEY COULD. NOT APPROVE LETTING THE TAX RISE. WITH INFLATION AFTER SIX YEARS. THE PANEL OF HOUSE AND SENATE.
NUMBERS ARE TRYING TO COME UP. WITH A PLAN THAT COULD RECEIVE A. SUPER MAJORITY VOTE IN BOTH. CHAMBERS TO OVERRIDE HENRY.
MCMASTER'S VETO. >> A LIVE LOOK AT THE GATEWAY. PROJECT. ALL KINDS OF DETOURS TONIGHT.
TRAFFIC ON THE I-85 NORTHBOUND. EXIT IS THE TOWARD THE WAY TO. CREATE FIVE SOUTHBOUND. THE RIGHT LANE IS CLOSE FROM.
WOODRUFF TO BUTLER ROADS AND SO. IS THE SOUTHBOUND RAMP. ON -- FINALLY THE LEFT LANES OF. ITEM FIVE SOUTH ARE CLOSE RIGHT.
NOW. CONSTRUCTION ON THE GATEWAY. PROJECT BEGAN LAST YEAR AND WILL. CONTINUE ON UNTIL 2020.
>> UNDER RECALL TONIGHT, THE. SO -- BEEF SOLD IN THE. CAROLINAS, IT MAY BE TAINTED. WITH A POTENTIALLY DEADLY E.
COLI BACTERIA. THAT'S ACCORDING TO THE U.S. DEPARTMENT OF AGRICULTURE. THE AGENCY ANNOUNCED THE RECALL.
BY MARCHO FARMS OF SOUDERTON. YESTERDA. THE RECALL INCLUDES 5600 POUNDS. OF BONELESS VEAL GROUND VEAL, BEEF AND PORK.
PRODUCED BETWEEN APRIL 11 AND. APRIL 14. THE BACTERIA CAN CAUSE DIARRHEA, DEHYDRATION AND ABDOMINAL. CRAMPS, AND CAN CAUSE KIDNEY.
FAILURE. GEOFF: -- MICHAEL: A PERSON IS DEAD AFTER. A SHOOTING IN GREENVILLE COUNTY. DEPUTIES SAY THEY RESPONDED TO.
THE D&D MOBILE HOME PARK. WHEN THEY GOT THERE, THEY. LEARNED THE PERSON HAD BEEN. SHOT.
THE VICTIM WAS PRONOUNCED DEAD. AT THE SCENE. A LIVE LOOK PRETTY THE CORNER. HAS YET TO IDENTIFY THE VICTIM.
>> THE SWAMP RABBIT TRAIL. TONIGHT HOST TO THE LARGEST. INDEPENDENT 5K IN THE UPSTATE. CAROL AND THE INTERIOR.
: DEPARTMENT HOST TO THE LARGEST. INDEPENDENT DOG PARTY. JOHN: SNOW IN THE HIGHER. ELEVATIONS.
WE WILL BE RIGHT BACK. MICHAEL: EXCITEMEN IS GROWING. IN THE HORSE RACING WORLD FO. TOMORROW'S KENTUCKY DERBY.
TONIGHT OTHERS WERE RACING IN. TRAVELERS REST, THE GHS SWAMP. RABBIT 5K. CAROL WYFF NEWS 4'S JOHN LYON.
: WAS THERE WHEN 6000 RACERS. STEPPED UP TO THE STARTING LINE. >> AND THEY WERE OFF ABOUT 6,000 RUNNERS WALKERS AND THOSE RIDING. IN STROLLERS.
>> WE'RE DOING GOOD. YOUR PUSHING AND YOU'RE. CARRYING. >> MORE ARE DOING IT EVERY YEAR.
THIS 9TH GHS SWAMP RABBIT 5K AND. ALL IT'S PARTICIPANTS DOUBLES. THE POPULATION OF TRAVELERS REST. ON RACE NIGHT.
COURSE THIS IS A COMMUNITY GET. BACK AND WE WANT PEOPLE TO COME. -- COMMUNITY GET BACK -- COMMUNITY GET BACK -- COMMUNITY. GIVES BACK -- COMMUNITY GET BACK.
-- COMMUNITY GET BACK -- COMMUNITY GIVES. >> THE WEATHER WASN'T. NECESSARILY A NICE THING CLOUDY. BREEZY AND A LITTLE RAIN.
>> IT'S GREAT. I'D MUCH RATHER A LITTLE RAIN. THAN TOO HOT. >> THE POPULARITY OF EVENTS LIKE.
THIS 5K IS WHY TRAVELERS REST IS. POPPING UP ON LISTS OF PLACES TO. GO. >> TRAVELERS REST IS ON THE MAP, IT'S ONE OF THE TOP TEN COOLEST.
SMALL TOWNS IN AMERICA. IT'S ONE OF THE TOP TEN TOWNS IN. THE SOUTHEAST, I BELIEVE. >> JOSH CASHMAN WASN'T JUST TOP.
TOP 10. HE FINISHED FIRST. 60 MINUTES, 12 SECONDS. MAYBE IT WAS THE SUPERHERO.
COSTUME. CAROL: -- MICHAEL: TODAY THE INTERIOR. , DEPARTMENT HOSTED ITS FIRST. BRING YOUR DOG TO WORK DAY BRACE FOR THE FUN.
THE IDEA GOT STARTED BY INTERIOR. SECRETARY RYAN ZINKE. HE BELIEVES BRINGING DOGS TO. WORK HELPS BOOST MORALE.
SO TODAY ZINKE MET WITH AROUND. 80 EMPLOYEES WHO BROUGHT THEIR. DOGS TO WORK. EVERYONE HAD A CHANCE TO TAKE A.
PHOTO WITH TH SECRETARY AND HIS. OWN PUP, A HAVANESE NAMED. RAGNAR. JOHN THE UPPER LEVEL LOW.
CONTINUES TO SPEND HERE IN. TENNESSEE AND START TO LIVE THE. IN THE NORTHEAST -- LIFT UP IN. THE NORTHEAST.
THIS EVENING WE HAD OFF AND ON. SHOWERS AND NOTHING SHOWERS ARE. CONFINED TO THE MOUNTAIN. OF COURSE, SHOWERS CHANGING TO.
SNOW IN THE HIGHEST ELEVATION. WELL ABOVE 5500 FEET. BEECH MOUNTAIN COULD BE -- SEE A. LITTLE BIT OF SNOW.
AS YOU CAN SEE, THERE IS THE. SNOW. IT IS FALLING ALONG THE WEST. AGAIN, IT FEELS LIKE MARCH.
OUTSIDE. YOU CAN SEE HOW CHILLY IT IS. IN THE UPSTATE -- IN FACT, WE WILL PROBABLY SEE. BREAKS IN THE CLOUDS IN THE.
CLOUDS WILL INCREASE TOMORROW IS. ANOTHER STORM SYSTEM COMES IN. IT IS CHILLY, CURRENTLY 52 DEGREES. THAT IS AT 452, BUT 46 DEGREES.
IN FRANKLIN, IT IS COLD OUTSIDE. HIGHEST ELEVATION IN THE 30'S, BUT STILL BREEZY. HUMIDITY LEVELS HIGH. PRETTY COOL ALONG THE BEACH AT.
61 DEGREES. ONLY 49 DEGREES IN ATLANTA. THE COLD AIR IS SEEKING, SO ONLY. BE 67 OR IT THE UPPER LEVEL LOWS.
WILL SLOWLY PULL AWAY BUT IT. WILL STILL INFLUENCED US..
WERE SHOT AT. IT HAPPENED AROUND 8:40. POLICE SAY 22-YEAR-OLD AMBER. NICOLE GREECE W SHOT.
-- AMBER MICOLE REESE FIRED. SEVERAL SHOTS AT THE TEENS -- WHO WERE IN ANOTHER CAR. THE TEENS WERE NOT HARMED, BUT. THE FATHER SAYS IT WAS A CLOSE.
CALL. THEY -- YOU CONFIRMED THERE ARE. LIKEWISE THEY NO BULLET HOLES IN. THE VEHICLE AND THERE ARE.
CLEARLY NO BULLET HOLES IN MY. BOYS. BUT THANK GOD THEY'RE A BAD. SHOT.
I MEAN, IF YOU CAN'T HIT A. MINIVAN AT POINT BLANK, THANK. YOU GOD THAT THESE LUNATICS WERE. A BAD SHOT.
MICHAEL POLICE SAY REESE WAS. : ARRESTED AT RIDGE ROAD IN. GREENVILLE LATER TODAY. TONIGHT SHE HAS BEEN CHARGED.
WITH ATTEMPTED MURDER. CAROL NOW TO BREAKING NEWS OUT. : OF NASHVILLE, TENNESSEE. COUNTRY MUSIC STAR LORETTA LYNN.
HAS BEEN TAKEN TO THE HOSPITAL. AFTER SUFFERING A STROKE. ACCORDING TO HER WEBSITE SHE IS. RESPONSIVE AND EXPECTED TO MAKE.
A FULL RECOVERY. LYNN IS BEST KNOWN FOR HER. 1960'S CLASSIC HITS "COAL. MINER'S DAUGHTER" AND ''YOU.
AIN'T WOMAN ENOUGH." WE WILL OF COURSE KEEP YOU UP TO. DATE ON ALL THESE BREAKING. STORIES ON-AIR AND ON WYFF 4 MOBILE APP. JOHN: NO THUNDERSTORMS ACROSS.
THE AREA WITH THE STORM SYSTEM. VERY ISOLATED. JUST A LOT OF WIND OR THE MOST. PART.
REALLY, THAT WAS ABOUT IT. ONE IN ANDERSON AND ONE AROUND. THE MAULDIN AREA. WE CONTINUE TO ROTATE THE.
SHOWERS THIS EVENING AND ONCE. THE SUN WENT DOWN -- WENT DOWN. SO DID THE SHOWERS. A LITTLE BIT OF PINK AND WHITE.
RAIN AND SNOW POSSIBLE IN THE. HIGHEST ELEVATIONS ALONG THE. TENNESSEE LINES. NO MITCHELL, GRANDFATHER.
MOUNTAIN AND MAYBE EVEN BEACH. MOUNTAIN COULD SEE SNOW TONIGHT. AND ALSO SATURDAY NIGHT INTO. SUNDAY MORNING.
IT IS GOING TO BE DOWNRIGHT. CHILLY WHEN YOU WAKE UP. MICHAEL: IN STATE OF ADDICTION. TONIGHT, AMONG NEW HEROIN USERS.
THREE OUT OF FOUR SAY THEY. ABUSED PRESCRIPTION OPIOIDS. BEFORE TURNING TO HEROIN. THAT'S FROM THE CENTERS FOR.
DISEASE CONTROL. CAROL THE CDC ALSO SAYS THE. : NUMBER OF OPIOID PRESCRIPTIONS. SOLD HAS MORE THAN QUADRUPLED.
SINCE 1999. I HAVE MORE ON THE DRIVE TO. EDUCATE THOSE WHO WRITE THE. PRESCRIPTIONS AND THOSE WHO USE.
THEM. >> LIFE IS DISHING UP SOMETHING. SWEET FOR BRIAN THESE DAYS. A MANAGEMENT JOB AND A CHANCE AT.
LIFE FREE OF ADDICTI CAR. ACCIDENTS AND A BACK INJURY. STARTED THE PAIN KILLERS WHEN HE. WAS A TEENAGER.
>> AND WHEN I TOLD MY DOCTOR, HEY, I'M LIKING THIS STUFF HE. TOOK ME OFF EVERYTHING. >> HE SAID BY LAW HE'S SCARED. THAT YOU KNOW HE'S KEEPING MY.
ADDICTION GOING SO HE STOPPED. 13:48:09 I WENT INTO MASSIVE. WITHDRAWAL. AND THEN I WENT TO A BUDDY OF.
MINE WHO SAID, HEY I CAN GET. THESE FROM A GUY DOWN THE ROAD. AND THESE TURNED INTO MULTIP. PRESCRIPTIONS, DR.
SHOPPING, HEROIN, THE WHOLE SPECTRUM. >> IN THE FACE OF MORE STORIES. LIKE BRIAN'S, THE CENTERS FOR. DISEASE CONTROL PUBLISHED.
GUIDELINES FOR DOCTORS ON. PRESCRIBING OPIOIDS. AMONG THE HIGHLIGHTS OPIOIDS. , SHOULD NOT BE THE FIRST LINE.
OF TREATMENT. DISCUSS THE BENEFITS AND RISKS. OF OPIOIDS WITH PATIENTS, HE IS. NO MORE THAN NEEDED, AND.
RE-EVALUAT -- USE NO MORE THAN. NEEDED, AND REEVALUATE THE PAIN. IN FOUR WEEKS. THE NEW GUIDELINES CAME OUT IN.
MARCH OF 2016. AT THE RECENT PRESCRIPTION DRUG. AND HEROIN SUMMIT IN ATLANTA THE. CDC ROLLED OUT MORE RESOURCES TO.
HELP DOCTORS TRALK TO PATIENTS. ABOUT OPIOIDS. >> WHICH ONE WOULD MOST PEOPLE. CHOOSE? >> INCLUDING INTERACTIVE.
SIMULATIONS OF PATIENTS AND. DOCTORS TALKING ABOUT PAIN AND. REMEDIES. CLERKS WE KNOW THAT STATE.
-- >> WE KNOW THAT STATE MEDICAL. SOCIETIES ARE OFFERING MORE AND. MORE COURSES SO THAT IS A. CRITICAL PIECE OF THIS AND.
PHYICIANS ARE ENHANCING THEIR. EDUCATION AND TRAINING. >> AND THERE'S EDUCATION ENOUGH. FOR EVERYONE ON PILLS, ON DETOX, ON RECOVERY.
>> I ALWAYS SAID, BEFORE I GOT. INTO RECOVERY, THAT AA AND NA. ARE FOR QUITTERS. NO.
IT'S FOR THE PEOPLE WHO WANT TO. SURVIVE TO WANT TO STOP DOING. THE DAY TO DAY OF THAT WRETCHED. LIFE.
>> INSTEAD CHOOSING A NEW FULL. , SUITE LIFE. SOME OF THE EXPERTS WE TALKED. WITH SAID IT'S A GOOD IDEA FOR.
PATIENTS TO BE FAMILIAR WITH THE. NEW OPIOID GUIDELINES TOO. IF YOU'D LIKE TO SEE THEM JUST. GO TO CDC.GOV AND LOOK UP.
GUIDELINES FOR PRESCRIBING. OPIOIDS. MICHAEL NEW HAMPSHIRE POLICE SAY. : PRESTON THORPE HAS BEEN.
ARRESTED. YOU MAY REMEMBER THIS CASE. THERE WAS A NATION WIDE MANHUNT. FOR HIM, BECAUSE OF AN EXTREMELY.
POWERFUL DRUG. POLICE SAY HE WAS IN POSSESSION. OF CARFENTANIL. THAT IS A SYNTHETIC OPIOID.
THEY SAY HE WAS TAKEN INTO. CUSTODY AT A HOTEL IN MANCHESTER. NEW HAMPSHIRE. POLICE SAID AN ANONYMOUS CALLER.
TIPPED THEM OFF. AND THEY SAY A SEARCH OF HIS. APARTMENT TURNED UP TRACE. AMOUNTS OF CARFENTANIL.
THE DRUG WAS CREATED TO. TRANQUILIZE LARGE ANIMALS. EVEN ELEPHANTS. OFFICIALS SAY IT'S 100 TIMES.
MORE POTENT THAN FENTANYL, AND. 5,000 TIMES STRONGER THAN. HEROIN. THE DRUG HAS BEEN LINKED TO.
THREE OVERDOSE DEATHS IN NEW. HAMPSHIRE. CAROL HAPPENING NOW, 42-YEAR-OLD. : DAVID JEROME BUTLER, TONIGHT.
REMAINS ON THE RUN, DEPUTIES. SAY, HE SHOT INSIDE THE YANFENG. MANUFACTURING PLANT THIS. MORNING, INJURING TWO PEOPLE.
DEPUTIES HAVE NOT SAID IF THOSE. TWO PEOPLE WERE SHOT, JUST THAT. THEY HAVE NON-LIFE THREATENING. BUTLER HAS A CRIMINAL HISTORY.
INJURIES. BUTLER HAS A CRIMINAL HISTORY. BURGLARY POSSESSION VOLUNTARY. MANSLAUGHTER, BUT WE SPOKE WITH.
HIS WIFE THIS AFTERNOON WHO. SAYS, THAT MAN, IS NOT THE ONE. SHE MARRIED. SHE SAYS, HE IS KIND, LOVABLE.
AND NON-VIOLEN. SHE SAYS DEPUTIES TOLD HER, BUTLER DID NOT SHOOT ANYONE, INSTEAD DROPPED THE GUN, WHICH. THEN FIRED. >> I TALKED TO HIM AT 4:00 THIS.
MORNING AND WE WERE ON THE PHONE. LAUGHING ABOUT WHAT I WAS GOING. TO COOK FOR BREAKFAST WHEN HE. CAME HOME.
CAROL ANYONE WITH INFORMATION. : ABOUT HIS WHEREABOUTS IS ASKED. TO CALL 68-CRIME, OR THE LAURENS. COUNTY SHERIFF'S OFFICE.
MICHAEL: IN OCONEE COUNTY, WE. LEARNED MORE TODAY ABOUT THE. DEATH OF A WOMAN REPORTE. MISSING LAST MONTH, AND LATER.
FOUND IN A STORAGE BUILDING. THE CORONER SAYS REBECCA CAWTHON. HAD BEEN SHOT SEVERAL TIMES. INCLUDING TO THE HEAD AND CHEST.
DEPUTIES SAY HER HUSBAND LEE. CAWTHON ADMITTED TO KILLING HER. THE CORONER SAYS REBECCA CAWTON. DIED APRIL 17 OR 18TH.
LEE CAWTHON FACES SEVERAL. CHARGES, INCLUDING MURDE. CAROL A U.S. NAVY SEAL WAS.
: KILLED IN SOMALIA. IT IS THE FIRST U.S. MILITAY. COMBAT DEATH THERE IN MORE THAN.
2 DECADES. THE NAVY SEAL WAS KILLED DURING. AN OPERATION AGAINST THE. EXTREMIST GROUP AL-SHABAB.
2 OTHER SERVICE MEMBERS WERE. WOUNDED. THE OPERATION TOOK PLACE. YESTERDAY NEAR THE TOWN OF.
BARIL. U.S. TROOPS ARE IN THE AFRICAN. NATION, TO ADVISE AND ASSIST.
SOMALIA'S ARMY. THE ATTACK COMES AS U.S. TROOPS. ARE RETURNING TO SOMALIA FOR THE.
FIRST TIME SINCE 1993. YOU MAY RECALL 18 SPECIAL FORCES. DIED FIGHTING MILITIAS IN. MOGADISHU.
A BATTLE DRAMATISED IN THE FILM. BLACK HAWK DOWN. TO CHARLES AND KNOW WHERE POLICE. HAVE A MYSTERY ON THEIR HANDS.
AFTER THEY FOUND A SEVERED HUMAN. FOOT. POLICE SAY THEY FOUND IT INSIDE. THIS SHOE MONDAY AT THE.
CHARLESTON MARINA. THAT IS ACCORDING TO AN INCIDENT. REPORT IT WAS SITTING ON THE. DOCK FOR SIX DAYS BEFORE IT WAS.
REPORTED TO POLICE. THE CORONER HASN'T CONNECTED IT. WITH ANY MISSING PERSON OR. ACCIDENTS.
IF YOU HAVE ANY INFORMATION. ABOUT THIS CASE YOU ARE ASKED TO. CALL POLICE. MICHAEL STATE REPRESENTATIVE.
: HAROLD MITCHELL OF HOUSE. DISTRICT 31 TOLD US THIS. AFTERNOON, HE'S STEPPING DOWN. HE SAYS HE MADE THE DECISION.
AFTER VISITING WITH SEVERAL. DOCTORS FOR HEADACHES, STRESS, AND BLOOD PRESSURE ISSUES. MITCHELL SAYS STEPPING AWAY WILL. GIVE HIM THE TIME HE NEEDS TO.
FOCUS ON HIS HEALTH AND HIS. FAMILY. CAROL YOU COULD SOON PAY MORE AT. : THE PUMP TO RAISE MONEY TO.
REPAIR SOUTH CAROLINA'S. CRUMBLING ROADS. TODAY A LEGISLATIVE PANEL. , TENTATIVELY AGREED TO INCREASE.
THE STATE'S GAS TAX BY IT. $.12 OVER SIX YEARS. IT ESSENTIALLY ADOPTS THE. SENATE'S VERSION ON THE GAS TAX, WITHOUT AN INFLATION FACTOR.
HOUSE MEMBERS SAID THEY COULD. NOT APPROVE LETTING THE TAX RISE. WITH INFLATION AFTER SIX YEARS. THE PANEL OF HOUSE AND SENATE.
NUMBERS ARE TRYING TO COME UP. WITH A PLAN THAT COULD RECEIVE A. SUPER MAJORITY VOTE IN BOTH. CHAMBERS TO OVERRIDE HENRY.
MCMASTER'S VETO. >> A LIVE LOOK AT THE GATEWAY. PROJECT. ALL KINDS OF DETOURS TONIGHT.
TRAFFIC ON THE I-85 NORTHBOUND. EXIT IS THE TOWARD THE WAY TO. CREATE FIVE SOUTHBOUND. THE RIGHT LANE IS CLOSE FROM.
WOODRUFF TO BUTLER ROADS AND SO. IS THE SOUTHBOUND RAMP. ON -- FINALLY THE LEFT LANES OF. ITEM FIVE SOUTH ARE CLOSE RIGHT.
NOW. CONSTRUCTION ON THE GATEWAY. PROJECT BEGAN LAST YEAR AND WILL. CONTINUE ON UNTIL 2020.
>> UNDER RECALL TONIGHT, THE. SO -- BEEF SOLD IN THE. CAROLINAS, IT MAY BE TAINTED. WITH A POTENTIALLY DEADLY E.
COLI BACTERIA. THAT'S ACCORDING TO THE U.S. DEPARTMENT OF AGRICULTURE. THE AGENCY ANNOUNCED THE RECALL.
BY MARCHO FARMS OF SOUDERTON. YESTERDA. THE RECALL INCLUDES 5600 POUNDS. OF BONELESS VEAL GROUND VEAL, BEEF AND PORK.
PRODUCED BETWEEN APRIL 11 AND. APRIL 14. THE BACTERIA CAN CAUSE DIARRHEA, DEHYDRATION AND ABDOMINAL. CRAMPS, AND CAN CAUSE KIDNEY.
FAILURE. GEOFF: -- MICHAEL: A PERSON IS DEAD AFTER. A SHOOTING IN GREENVILLE COUNTY. DEPUTIES SAY THEY RESPONDED TO.
THE D&D MOBILE HOME PARK. WHEN THEY GOT THERE, THEY. LEARNED THE PERSON HAD BEEN. SHOT.
THE VICTIM WAS PRONOUNCED DEAD. AT THE SCENE. A LIVE LOOK PRETTY THE CORNER. HAS YET TO IDENTIFY THE VICTIM.
>> THE SWAMP RABBIT TRAIL. TONIGHT HOST TO THE LARGEST. INDEPENDENT 5K IN THE UPSTATE. CAROL AND THE INTERIOR.
: DEPARTMENT HOST TO THE LARGEST. INDEPENDENT DOG PARTY. JOHN: SNOW IN THE HIGHER. ELEVATIONS.
WE WILL BE RIGHT BACK. MICHAEL: EXCITEMEN IS GROWING. IN THE HORSE RACING WORLD FO. TOMORROW'S KENTUCKY DERBY.
TONIGHT OTHERS WERE RACING IN. TRAVELERS REST, THE GHS SWAMP. RABBIT 5K. CAROL WYFF NEWS 4'S JOHN LYON.
: WAS THERE WHEN 6000 RACERS. STEPPED UP TO THE STARTING LINE. >> AND THEY WERE OFF ABOUT 6,000 RUNNERS WALKERS AND THOSE RIDING. IN STROLLERS.
>> WE'RE DOING GOOD. YOUR PUSHING AND YOU'RE. CARRYING. >> MORE ARE DOING IT EVERY YEAR.
THIS 9TH GHS SWAMP RABBIT 5K AND. ALL IT'S PARTICIPANTS DOUBLES. THE POPULATION OF TRAVELERS REST. ON RACE NIGHT.
COURSE THIS IS A COMMUNITY GET. BACK AND WE WANT PEOPLE TO COME. -- COMMUNITY GET BACK -- COMMUNITY GET BACK -- COMMUNITY. GIVES BACK -- COMMUNITY GET BACK.
-- COMMUNITY GET BACK -- COMMUNITY GIVES. >> THE WEATHER WASN'T. NECESSARILY A NICE THING CLOUDY. BREEZY AND A LITTLE RAIN.
>> IT'S GREAT. I'D MUCH RATHER A LITTLE RAIN. THAN TOO HOT. >> THE POPULARITY OF EVENTS LIKE.
THIS 5K IS WHY TRAVELERS REST IS. POPPING UP ON LISTS OF PLACES TO. GO. >> TRAVELERS REST IS ON THE MAP, IT'S ONE OF THE TOP TEN COOLEST.
SMALL TOWNS IN AMERICA. IT'S ONE OF THE TOP TEN TOWNS IN. THE SOUTHEAST, I BELIEVE. >> JOSH CASHMAN WASN'T JUST TOP.
TOP 10. HE FINISHED FIRST. 60 MINUTES, 12 SECONDS. MAYBE IT WAS THE SUPERHERO.
COSTUME. CAROL: -- MICHAEL: TODAY THE INTERIOR. , DEPARTMENT HOSTED ITS FIRST. BRING YOUR DOG TO WORK DAY BRACE FOR THE FUN.
THE IDEA GOT STARTED BY INTERIOR. SECRETARY RYAN ZINKE. HE BELIEVES BRINGING DOGS TO. WORK HELPS BOOST MORALE.
SO TODAY ZINKE MET WITH AROUND. 80 EMPLOYEES WHO BROUGHT THEIR. DOGS TO WORK. EVERYONE HAD A CHANCE TO TAKE A.
PHOTO WITH TH SECRETARY AND HIS. OWN PUP, A HAVANESE NAMED. RAGNAR. JOHN THE UPPER LEVEL LOW.
CONTINUES TO SPEND HERE IN. TENNESSEE AND START TO LIVE THE. IN THE NORTHEAST -- LIFT UP IN. THE NORTHEAST.
THIS EVENING WE HAD OFF AND ON. SHOWERS AND NOTHING SHOWERS ARE. CONFINED TO THE MOUNTAIN. OF COURSE, SHOWERS CHANGING TO.
SNOW IN THE HIGHEST ELEVATION. WELL ABOVE 5500 FEET. BEECH MOUNTAIN COULD BE -- SEE A. LITTLE BIT OF SNOW.
AS YOU CAN SEE, THERE IS THE. SNOW. IT IS FALLING ALONG THE WEST. AGAIN, IT FEELS LIKE MARCH.
OUTSIDE. YOU CAN SEE HOW CHILLY IT IS. IN THE UPSTATE -- IN FACT, WE WILL PROBABLY SEE. BREAKS IN THE CLOUDS IN THE.
CLOUDS WILL INCREASE TOMORROW IS. ANOTHER STORM SYSTEM COMES IN. IT IS CHILLY, CURRENTLY 52 DEGREES. THAT IS AT 452, BUT 46 DEGREES.
IN FRANKLIN, IT IS COLD OUTSIDE. HIGHEST ELEVATION IN THE 30'S, BUT STILL BREEZY. HUMIDITY LEVELS HIGH. PRETTY COOL ALONG THE BEACH AT.
61 DEGREES. ONLY 49 DEGREES IN ATLANTA. THE COLD AIR IS SEEKING, SO ONLY. BE 67 OR IT THE UPPER LEVEL LOWS.
WILL SLOWLY PULL AWAY BUT IT. WILL STILL INFLUENCED US..
FlyingDoctor ~R.I.P.~ Dr.JohnHinds. TheFastest Road Racing Doctor,
WoW! That's Unbelievable So in Ireland we're quite unique for
one of the few places in the world where we still do motorsport on closed
public roads and so whenever we race motorbikes back home, we do on the
highways and byways and you can see from this picture of me at Armoy Road Races,
there's Not an awful lot of room there there's a lot of spectators in the background.
This is about 265-Kmh /165-MPH. We're jumping about 3 feet in the
air and the guys that are really fast are much faster than I'm going over
this so if Twitter's taught me one thing over
the last year it said anaesthetists fairly boring individuals, they sit in
theater and they give Propofol put laryngeal masks and they read the
paper, we'll invite anybody to come and sit in my office with me at the weekends
and we can see how exciting anaesthetists can be, so the Road
Racing scene is quite unique the circuits or maybe 11 to 14 km / 7 to 9 miles
long and the infrastructure isn't great you can see they're mostly hedgelined
they're public roads and their small roads so they're slightly too short for a
helicopter to be useful they're slightly too long to have a series
of ambulances and medical cars so one of our strategies is to use rapid response
motorcycles like I ride and they cut the circuit down quite quickly you
can be on scene very fast So this is one of the strangest conflict
of interest slides you're ever likely to see So I'm sponsored by Dainese Leathers, Arai Helmets, Daytona Boots, Bridgestone Tyres and Motul Oil so, if you don't use any of these
products you'll almost certainly die :) So this is our team it's not just a one man band we do have
fully stocked medical cars and paramedics other doctors but the first
response that in our environment is by fast response bike so this is me on my fast response bike
this is me talking to Michael Dunlop who's a multiple TT winner and he's one of the
most normal individuals you'd ever find when you're speaking to him one to one,
This is michael dunlop minutes later and this should give you some impression
of the environment that we race in and this is the 'Southern 100' this is
probably about 250-Kmh / 155-MPH. There's a stone wall
about maybe 2' feet away from Michael's head and he's in a group of bikes all
trying to get past each other and so these guys aren't sane :) the speeds are
incredible, this is the 'North West 200' somewhere like the 'North West' the 'ISLE OF MAN' TT the 'Ulster Grand Prix' the average speeds are now in excess of 210-Kmh / 130-MPH that's an average speed, maximum speeds in
excess of 322-Kmh /200-MPH. So whenever these guys crash they crash big and
whenever they come off their bikes they travel at an enormous speed they can be very lucky and they can be
very unlucky in their crashes so really what I'm going to try and do today is
take you through some of the cases that we've seen and some of the learning
points they're often this very unique environment, and so first of all this
case was actually from a short circuit so it's not a road race at all, but it's
to give you some idea of the acuity Did my microphone just die.
Ok so it gives you some idea of the
acuity that we work in and this is quite unique for us, so even the best
helicopter service in the world there's still a lag of a few minutes before they
can get patients sometimes we state patients and within the first seconds of
the dying process and this is just one such chap so to orientate yourself this is looking
dying the start/finish straight under the last corner and this chap came
powering out of the last corner down the start/finish straight and we
saw him coming and this was a practice session so he came out 80-MPH ,
90 , 100 , 110 200-Kmh / 120-MPH still accelerating you could hear i'm kicking up the gear
box in the bike, and as he came on to the start/finish straight he started looking
down the side of the bike and he started working at something down the side and he was adjusting a
transponder as he was coming down the start/finish and it was a bit like someone
changing a CD in a car on the motorway he slowly started drifting and we
were sat on the other side of this wall and we could see it coming and we
thought, awh surely Not, but yes he rode straight into the end of the pit
wall, at about 210-Kmh / 130-MPH. And you can see from sort
of the size of some of the stones that he's ripped out there, this was a massive
massive accident so we were on the scene really within
10 seconds of this guy's impact and he was dead he was in traumatic cardiac arrest and
we got the race stopped and like most services we have a very structured rapid
approach to traumatic cardiac arrest and so there's no CPR and no clear fluids no
idea access you get a tube bilateral thoracostomy a pelvic binder on quite
rapidly and then a reassessment and with those three interventions he had an output
back, so very very rapid bilateral chest decompressions, 2 lungs down,
dreadful maxillofacial injuries but he got an output back he was then anaesthetized and transferred
to the most appropriate hospital as is our want in the pre-hospital
environment but you can see from the sort of level of devastation this guy
decelerated from well over 200-Kmh / 120-MPH. Within a couple of
feet he just hit that wall and stopped dead and it's
sort of a reflection on how structured approach within the early stages of the
dying process and traumatic injury can have a good outcome this guy's now back running his own
business but you can see the sort of devastation it caused, so racing is
dangerous and this is me I know racing is dangerous, i have been
that man, I have lots of metalwork I've been in hospital lots of times, I've had
lots of operations and I still don't learn so all these are me, one of the principal
things about Racing on the roads is the furniture and it's the stuff that's
lying about this dangerous this is Michael Dunlop again and you can see how
close he's coming to that stone wall this is again in excess of a 160-Kmh /100-MPH wheeling leant over looking up the road and brushing a stone wall with his shoulder but you can see someone tied a straw
bale to this stone wall that's fine :) That's safe enough :) that's legit :) So the speed and the environment that
you race in is the problem this is 'Martin Finnegan' and this is again a
notorious section track at the circuit called the 'Tandragee 100' and this
is also again 260-Kmh / 160-MPH. Flying through the air and it's a
dreadfully cruel sport and literally about two corners after this was taken
and 'Martin Finnegan' was dead he overshot the corner and hit this grass
bank and he died so it's a fantastic sport, it's also very
cruel sport.
So a couple of things I'm going to talk
about, first of all beware of fire we always start talking about scene safety
when we're pre hospitalists and there's a few ways that bikes can burn they can burn instantly, they can burn
after a couple of minutes, there can be a missed burn when you get some petrol/gasoline
leaking and then someone moves the bike and up she goes on a quick shifter as well as a
device that cuts the ignition and this can sometimes cause problems when you go
to move a motorcycle so this is an instant burn this is a
bike that's hit and has exploded the petrol/gasoline tank and up she goes so it's very straightforward this is
quite an obvious one. This is a delayed burn this is a bike that's fallen over
and has been leaking petrol/gasoline and the marshals have gone to lift the bike and
as they've done that petrol has poured onto the hot
exhaust and its burst into flames but you can see they're dealing with in
a fairly controlled and calm way :) this is the every man for himself
approach to, and you would expect that this guy here if he had the chance to be
throwing women and children behind him :) to try and douse the flames :) So this is
a friend of mine this 'Guy Martin' and this is racing in Germany racing go-karts
actually as a matter of interest you can see Guy's there in the first step of
the podium and then the second step of the podium the angry looking man on the
phone is actually the European go-kart champion at the time, he got fairly
roughed up during this:) but Guy had a very impressive crash at the TT races this
year, he crashed with a full fuel load the fuel tanks on these bikes superbikes are full of aviation fuel, so
they may be carrying 20 liters of the highest octane race fuel you could imagine and if you look high up in the photo you
can see the fuel tank flying through the air, up there, if you look a
low in the photo you can see Guy Martin there's his leg, so if you look down low
you can see Guy's leg coming out of the fireball, this was a big crash this was in an enormous crash.
There's what's left of the bike and Guy was fine he was grand, he'd a couple of
fractured vertebrae hemothorax, that's fine for a
racer :) So this is another example of a bike
burning this me standing about at a Road Race in the South of Ireland and
we do an awful lot of standing about waiting for things to happen. There
was an incident occurred the red flags went out, so we all mobilized and off we
went so the rapid response bikes took off and we
headed off to the scene. This is what we were met with the fairly standard
pre-hospital scene you roll up and with motorcycles the first thing you do is
count the number of patients, count the number of bikes, and see if they match
because if you have more bikes and you have patients someone's missing, they're either under a
hedge or there somewhere you don't expect them.
So we have one bike one
patient this is the patient, on first
assessment he was fine he was talking he was he was grand to all
intents and purposes, but there was an enormous amount of activity happening in
the garden that you can see in the background, there was an awful lot of
flapping and shouting and panicking going on so we did a quick assessment of this guy
he was fine we split the team and some of us went up into the garden to see
what the hell is happening up in there what we were met with was we find
the bike and it had made its way up onto this fence and unfortunately there was a
group of people leaning on this fence watching the races, if you're a fan
of motor sport the motorcycles you'll notice that the fuel tank is missing
from this bike and this is the first lap of the race so essentially this bike left the track
was a big tank full of 20 liters of high-octane aviation fuel strapped to the
top of it, it hit this fence where there was a lot of people enjoying a beer, and
exploded, so we find the fuel tank just over the side of the fence it was still on fire, hence the fire
extinguisher, so we had to go looking for the patients then, the first thing we did
was put out the fire very important, oxygen is supposed to
the first point of contact for critical illness not if the person is on fire, it isn't :) so, we then find the patient we find an
elderly gentleman on fire lying in the middle of the garden, so
the first thing we did was we put him out and there's a bit of a flurry of
activity going on here we got ourselves together, we were then able to assess the
patient this man was wearing a pullover, when he
was leaning against the fence you can see it's exploded and burnt
of him, you can see his trousers have been burnt, he's a bit combative, his airway
was rapidly being lost in front of us his face was visibly swelling because this was high octane
race fuel. This is my concerned face :) it's important to have a concerned face,
but your concerned face should never change regardless of the situation that
you're in, so even if you're faced with the dreadful airway in the pre-hospital
environment :) your concerned face should be no more severe than if you're taking
the fairing off a bike working in a workshop because you have to bring some
element of calm and control these situations they're not good ones there's nothing to be gained by panicking
and flapping about, so we know what this man needs he needs an RSI, we've got a
system to do that we've got a team that can deliver it so there's no need for concern here, so I
told myself :) So again like any structured pre-hospital service we've
got a way of doing this, we get our equipment together, we've got suction
and oxygen we've got expert help at our right hand
side, we haven't rushed in we're going through a checklist for checking
our equipment and this guy was tricky you can see the amount of equipment that
starts to build up when you're delivering a pre-hospital RSI it
shouldn't be done in a hurry it should be done in a controlled
fashion and this guy was tricky he was a tricky airway, he needed a
second look with a boogie, much smaller tube than we anticipated, it was a 6
tube was the only thing that would go through this guy's vocal cords, and he
remained with that size 6 tube for the first 3 weeks of intensive care
stay, because nobody had the courage to take it out :) This guy did very well he survived you can see obviously had
life-changing injuries, but he was alive because of a good intervention
from a well-drilled team. So you are faced with strange scenes
sometimes, and with bikes it's odd if you crash your car you can pretty much
predict what energy has been transmitted if the cars badly damaged, good
chance the patient is, not the same with bikes, so you have to treat the injuries
you find and also what you expect to find. So this is an accident scene, this is the first corner of a race we were sat at the back of the grid watching a chap as he
pushed the bike out of of the paddock and he was in a state of
tremendous anxiety, because the race has been called and he wasn't ready he
was still adjusting his brake lever as he got on to the start/finish straight
never a good sign so this guy was still working on his
brakes as he was by the set off and you can see eventually he reached a certain
stage and the bikes for setting off and he just went ah feckit it'll be
fine Waahhh, and off he went so this was the
first corner :) and he arrived at this and pulled the front brake lever and it made a
slightly funny noise and nothing else happened so he crashed, so this is what we were
faced with so we hopped over the fence and find the bike, very important part of
pre-hospital medicine is the concept triage if you have more patience than you can
deal with you have to assess who's salvageable and we made a quick call on
the garden gnomes :) down here in the bottom of the screen :) and you can you can see
they've just been flattened completely so no hope :) we had a quick look at the
bike you can see the forks have been ripped out of it, the wheels gone so we know
that the motorcycle is had a significant bang, fortunately some
keen environmentalist had dropped the fuel tank into a bucket for us which is good :)
The next clue that we find was a divot in the ground and that divot is
suspiciously person shaped so we know we knew that this guy had gone in and hit it
like a bouncing bomb and just skipped over So, we still hadn't come across the
patient by the stage but we're starting to build in our mind, you know, what this
guy is going to be like, in fact he was fine, his only complaint was of a
painful right ankle and you'll have to excuse the spinal board this was back in
the day.
So we packaged him as we did this was our want at the time and
we have to look at this guy's ankle and it was quite bad it's an obvious fracture dislocation
and his toes were going a bit white so we don't only deal with just a big
life threatening complications we also deal with
life-changing complications like ischemic feet so with a good performing team we can do
sedation analgesia and reduction of these things and this was a Ketamine sedation. Now if you look closely you can see that
the Ketamine syringe has ended up in this marshals mouth here :) because sometimes you don't always have
a clean environment to set your equipment down, and our doctor fred
decided the cleanest environment was just to pop into that guy's mouth then :)
You can see that Ketamine is quite clearly a dissociative anesthetic because all the pain has moved into the marshals face :) If you look here closely :) So types of crashes, there's a few
different ways to crash a motorbike the commonest one and you'll see this if
you're a pre hospitalist is someone arrives at a corner and they just give
up they think we're going too fast and they
run out of Road and they hit usually an oncoming vehicle is the most severe one
if you're going to have a crash all on your own you can do it two different ways, you can
either lose traction from the front tire so you're going around a corner
the front tire loses grip and the bike just falls over and you slide and crash
very pleasant way to crash if it's not your own bike :) and you just sort of slide
to stop. The other way though is a high-side high-side, this is not so comfortable if
you've ever done it This is when the rear wheel loses
traction, so the bike sort of spins out it will eventually grip and it'll launch the
person into the air, this is a rider called 'Jamie Whitham' if you've read
Jamie's autobiography this is one of two occasions in his
racing career when he shit himself :) so this is quite unpleasant for him. But you can see if you get
information from an ambulance crew that someone's had a high side crash,
it's a fall from height and this can be 210-Kmh / 130-MPH, so it's
essentially like climbing out the roof of your car, by the windscreen and jumping
off, so it's not a very pleasant way to crash, the other unique aspect of bikes
is that there is a potential for you to be run over by your own vehicle once you've fallen off it, or someone
else.
This is 250 championship this is 'Andrew Courtney' and 'Davy Morgan' and
Andrew Courtney fell off and Davy Morgan ran him over. Both riders were fine, apart from
Andrew Courtney's boxing fracture which he development in this sort of post race
analysis here :) So, a top tip would be don't punch
someone with the motorcycle helmet on :) So this is another example of someone
running over themselves this is 'Cameron Donald' and if you look at the second
picture you might be able to appreciate that his front Tire is slightly turned so he's
lost traction and he fell off now this should have been a pleasant
crash nice little Low-Side crash because he's only got six inches to fall and in
theory he should slide to stop but Cameron's bike had other ideas and it chased him, and clip him in the back of the head and pushed him across the circuit
into the straw bales so he had a fairly significant thoracic spinal fracture
simply because a simple accident the bike chased him and hit him. You can get run
over by other people as well this is me yet again this is me racing some supermoto in
the offseason and I thought I was quite the chap here until a few corners later when I fell off and got run over by
my own bike and then by someone else :) This is an interesting slide actually, I've had 2 crashes racing supermoto and this same guy has ridden
over me on both occasions :) So I'm going to go through 4
mechanisms of concern because I've tried to keep this concise I don't want to rabbit
on too long, so 4 mechanisms of concern if you're pretty hospitalist or
if you're receiving physician in the emergency department, 4 things that
should alert you as areas of concern he had the curb, he's got broken feet, but
is unexpectedly unconscious there was a boot that's come off, or he's had a head-on collision on the apparently isolated femur fracture so (1) first hit the curb, if you're sliding
along your back an 18" inch high Kerb might as well might as well be a 10'
foot high brick wall so if a rider has hit a kerb one of two
things will happen, they'll either stop dead or the launch off that kerb and go flying
through the air this is someone hitting a kerb and stopping
dead, and then getting ridden over so this is a compound injury, so although
this chap was quite well the photographer that took these photos
rushed up to us and said you want to see this, because you can see the amount of
rotation he's had on his head when he's hit that, and then someone's ridden over him.
So we were careful with this guy we packaged him appropriately. (2) The other thing you can do is use it as
a launch pad, this is Steve Plater at the 'Northwest 200' Steve hit the Kerb and
launched himself through the air so he didn't come to a dead stop he
had a big fall from height because he hit the kerb steve was also fine he had a few
fractures that needed attended to, but he was grand afterwards you can see, a
couple of fractures cervical spinal injury, chicken feed for a racer :) (3) Helmets :) this is this is one of my favorite
slides because this guy actually has a helmet it's down there, in the front of his bike, but
he's too cool for that :) Helmets have made an enormous
difference in reducing injuries this is a great example of it, this
is a chap called James McCann who crashed at 'Kells Road Races' now even if you're not
interested in motorcycle sport you can probably tell he's gone in too fast to
this corner and he's not making it so he had a crash, and he took out he took out this rider called James
McCann on his way, poor old James didn't know what hit him.
Now James slid along and he's sliding
towards what looks like a suspiciously soft grassy Bank there, but things
sometimes aren't always what they seem James hit this with his head and this is
about 210-Kmh / 130-MPH. By the way, and you can see this is actually a
stone wall so if you look very carefully he's
ripprd out the first stone with his head, there, and he proceeded to slide up
the road with lots of stones following him. So if you look you can see the sort of
stones that have been ripped out of that wall with James head, if you also
look along the grass verge you can see James up and walking about so there he is there, and the reason he's up
and walking about is because he's looking for his bike to get back onto it :) So mechanism of injury sometimes is
unreflective whenever it's describing people say, he slid along, hit a stone
wall, and you think, he looks suspiciously good. Helmets also come into their own if
there's a bit of wildlife about :) this happens quite a lot of phillip
island in Australia, it also happens in the 'ISLE OF MAN' TT - where you can collect
all sorts of wildlife, this is 290-Kmh / 180-MPH.
This is coming down to the top of Bray
Hill, a seagull to the forehead at 290-Kmh / 180-MPH, I can assure
you hurts, so helmets are quite good at protecting against the unexpected. (4) His helmet came off,
this is something that we used to hear a
bit the old style helmets are quite poor sort of central bits in them, so
sometimes they would rip the center of the helmet out, and the helmet would come
off and the lining would stay on the head. We don't see it so much anymore.
This is one that we did have recently though you can see the scene of the accident is
farther back up the road and the white object in the middle of the slide is the
guy's helmet this chap crashed at about 220-Kmh / 135-MPH at the same place that i showed earlier on,
'Cooly Hill' and his helmet came off as part of the accident his helmet came off because he got hit
by the bike and it split the helmet you can see it's sort of bull's-eyes and
crosshaired the helmet and it ripped it right off his head this guy was another shining example
of how well functioning pre-hospital team can change lives, because this guy
was GCS 3, blown pupil, unconscious, snoring, face down, helmet lying further up
the road, he had a rapid sequence induction, neuroprotective ventilation,
thoracostomies, pelvic binder, transferred to a
neurosurgical center, we had a dreadful head injury, but he got out
of hospital just in time for the birth of his baby daughter, so you can
actually change lives with a high performing team. If you're examining a
helmet be very careful with your assumptions these things are designed to be a
crumple zone so sometimes the helmet can look dreadful and the patient will be fine sometimes
the helmet can look fine on the patient will be dreadful so we do look at helmets, we do examine
them, but we don't draw too many conclusions from them now if you want a good example of a
high-functioning team this is probably as good as slide as any and this is a sort of 3 or 4
consultants working on a trauma patient the chap at the airway is a GP,
the chap doing the thoracostomies is me, that's an anesthetist, we have a cardiologist putting on
pelvic binder and oversight by a G.P.
General Practitioner so if you've got a good functioning team
any member of it should be able to do most roles. Broken feet reduced level
of consciousness this is one that caught us out a couple of times in the early
days, if someone has slid along at a significant speed and have hit something
feet first it's like fall from height so you'll get
the occasional typical calcaneal fractures in someone that's unconscious,
so if someone has broken feet and are a bit think obtunded, think internal cerebral hemorrhage or base of skull or high spinal. Okay helmet removal, helmet
removal is safe, I just wanted to put a couple slides in here, use 2 hands
2 people take the helmet off we do this about 200 times a year
we have no second a neurological sequelae, we've done about 2,000 over the
last 10 years taking helmets off is fine it's safe. Occasionally you need a plan
'B' though, we've had a couple of helmets I've seen someone hospital practice were a rider has crashed and the public roads and have lain for a while before
they've been found and they come in with their heads swolen into their
helmets and you can't physically get it off so our strategy for this if you've got
very little space in there sometimes the helmet simply won't come off, use the old jiggly saw, so if you do have
a helmet that stuck and simply will not come off you can destabilize it provide a route for
oxygenation and ventilation and then take it off in a controlled fashion so
if you use a jiggly destabilize it and just remove the entire front of it you'll get good access to the airway and
then you can then proceed in a controlled fashion so if you're, so you can get right at
the face, now this is not a plan 'A' this is a plan 'B' it's extremely rare for this ever to
happen, just take the helmet off would be my advice, if you're a
little bit worried about getting a jiggly saw in by someone's face
cut an ET tube and push that in first and that will give you a little conduit to put
your jiggly saw down through and then you can take the face plate
off, so very rare but a bit novel.
Now speed humps these are a curse, speed
humps are a device that are there to allow the rider to be more aerodynamic
on the bike so it allows the airflow over the motorcycle to be quite
smooth they have no relationship to safety
whatsoever what they do, is render someone in an un-intubateable
position if they're flat on their back so this is a rider lying flat on his
back with the speed hump in, and you can see from the position his neck is in, he is un-intubateable, the c-spine is not safe and you will not be able to intubatabe
this man, so it's the opposite of this position really so if you encounter someone with a speed
hump take it out it's very simple to do, if you just
run a knife down the outside and cut the leather the hump comes out, you can also then spin
it round and use it as a little pad for the back of the head to elevate them
into the neutral position, so we do this as almost the first thing we do when we
encounter a rider, cut the hump out and take it out of the
equation. Right last case i think this is a head-on collision apparently isolated femur it's virtually
impossible on a road bike they had something head on and just
break your femur because you always rotate around the tank, so the tank will hit the femur and the femur will open so if you get an isolated femur be
highly suspicious of the pelvic injury. Always put a binder on these guys if
they're in any way sketchy, this is one of my best mates, this is a guy called
'Herbie Ronan' again if you're not a motorcycle enthusiasts you can probably
recognize that Herbie is not making this corner he blames this chap on the yellow bike
exclusively for this accident and the guy on the yellow bike was nowhere
near him, but Herbie didn't have a good day, this is another suspiciously
soft looking hedge and again it's another suspiciously soft looking hedge with a
stone wall behind it, so Herbie went sliding up the road, and Herbie got his foot stuck in the hedge, and that opened his pelvis big style, so Herbie's boot got tore
off, you can probably see see it following him up
the road big pelvic splay injury there's the boot
following him, Herbie slid to a halt up the road and came to rest, and this is
not a great situation to come around and find your best mate, head down, fractured
pelvis, no boot, broken arm not in good shape at all, so Herbie,
we have a fair idea his pelvis was broken from the mechanism and from the fact that
Harvey said to us feck my pelvis is broken :) :) so There were two very strong diagnostic
clues in that picture, this is Herbie's X-ray not good, I'm pleased to say Herbie's now fine
again this is him in his element with an
ice cream, loving it :) so Herbie's now back racing again and after long
protracted stay in hospital so beware of the boot lying in the road,
so for some reason if you're about to have a crash in a motorbike your brain
reverts back to when you were 8 8 years old riding a BMX and you try and put your
foot down, I have no idea why this is but everyone does it this is a world champion that's about to
make a fairly sketchy overtake and he's panicked a little bit he's put his foot
down, if you put your foot on the ground 290-Kmh / 180-MPH you're foot will point
backwards within about half a second so the only way for a
motorcycle boot to get torn off if it's appropriately fastend and fitting is for
the foot to face backwards and that's the only way the boot can come
off, so if you find a boot in the middle of the road it means that leg has faced backwards
and the only way for that leg to face backwards at 160-kmh / 100-MPH is
for the foot to rotate the tibia and fibula to break, the femur to break, and
probably the pelvis as well, so if you find a boot has come off be very
suspicious this is what it looks like, the first
picture wasn't captured by the photographer, but if you look there
you can see a boot flying through the air so if you have a look high up in the
slide there's a boot so the rider that's just out of shot was coming down to start
finishing and the chap on the yellow bike panicked him a little bit, so he put his foot down and as soon as he did that his leg went
through a couple hundred degrees of rotation and tore his boot off, broke his
leg and he fell off the bike now there's a couple of things to notice from
this from the sequence of slides the first thing I want you to keep your eye
on is the guy sliding up the road with no boot on, so you can see him there
with no boot on and the other thing is the marshal
behind this pole because this man is like a ninja, he's unbelievable so this bike is coming at him
at probably about 210-Kmh / 130-MPH. And it's flying through the air there it is about
6' feet away from him at head height and again have a look at the chap sliding
up the road with no boot on.
So the bikes coming at him again, it's about 3' feet
away from his head now, and he's kind of he's casually taking his hands out of his
pockets :) and preparing to mosey mosey out of the way in a controlled
fashion, so the slide we see he's now had a wee sit down :) and the bike has hit the
telegraph pole just behind him and again you can see our chap sliding up the
road here in the foreground, and on the bike bounced off, and you can see this
marshal just bounces straight back up onto his feet again as if nothing has
happened so it's really quite impressive and he put his flag out then at that stage :)
So you can see our rider, when we arrived to him he had no obvious complaints apart from the
fact that his leg was sore and you could be fooled into thinking this is an
isolated ankle fracture but if the boot has come off there has been devastation
has gone on in that leg and we had a series of these now. LEM injuries are quite
prevalent in our sport so you can see this is a significant degloving injury, I like this slide for a couple reasons because there's the
first responders on team are a consultant anaesthetist senior paramedic and another
couple of paramedics are not one of them is looking at the degloved foot they're going through their structured
approach ABC CABC whichever you prefer and they've given
the obvious injury a damb good ignoring, and we have a cohort of these
guys now that are racing, and this is 'Robert McCrum' if you look very carefully you'll
see Robert's has a false leg on, this is Robert's walking leg this is Robert's racing leg, so he's got
two different legs the walking leg stays back in the paddock and the racing leg
goes on when he was out on the bike this is 'Robert McCrum' with his walking leg on
sitting in the paddock, Road Racers are tremendous that ignoring risk this is the first time that Robert was
back on the bike after his below knee amputation, and you can see he's quite pleased
that he's back out on a motorcycle again but Robert is tremendous and ignoring
risk, if you look closely in this photo you'll see first of all he's
sitting on 40 liters of aviation fuel :) and secondly he's smoking a roll up cigarette :)
That's pretty hardcore. So this is Robert the first time he was
back out, he won the senior classic championship
on the roads, and this is him with Dean Cooper who was the chap you saw on the other slide
with his foot degloved both back racing. So 4 mechanisms of concern
if you hear these be aware, he hit the kerb or the person has broken feet but
they're suspiciously unconscious there was a boot lying in the middle of
the road, or it was a head-on collision and apparently an isolated femur, and last
couple of slides I just wanted to do a couple of them if i'm okay for time.
So Spectators spectators are our biggest pain in the
ass the racers are fine spectators are a nightmare bloody
spectators as we call them because if you think road racers are good at
ignoring risk spectators are in another league altogether,
this is one chap for example :) it was watching the races at the 'Northwest 200'
and this guy, this slide is quite impressive, this slides even better when
you see where is, because every time we came round on a lap this guy was
swaying slightly more in the tree because between each race he would scuttle down
like a monkey and bring another six pack up with him back up to the top of the tree :) This is another great example of a
spectator, this chap we got called to at the 'Northwest 200' this guy was watching
the races, had a of feed a drink, needed to go for a piss, couldn't find anywhere
thought that cliff edge looks like the very spot.
So this chap sort of rambled up to the cliff
edge and was having a pee off the edge of it as you do, he got caught by an unexpected
gust of wind and over he went, this is over 100' feet
of a drop, we know that because we couldn't winch with a
helicopter, we had to do a ground winch. This is a great human factor slide
as well, this guy was very badly injured and closed head injury GCS 6, obvious
humerus, pelvis, femur, he'd had a big smack so intubated, and then we had to
get him out. A great human factors slide because this is me here, we
don't train for winch retrieval because there's only one cliff in northern
Ireland and this is it :) This chap fell off it, so it wasn't
something that we had really prepared for, so if you look from left to right
you'll see a hard hat, hard hat, Hard hat woolly hat :) and if you look from left to
right you'll see safety harness, safety harness, safety harness, and see if you can spot
my safety harness in this picture :) there it is down there at the bottom of the cliff.
So I was about 80' feet up when I realized that I didn't have my harness on, and i can tell
you I had a Kung-fu death grip on that stretcher :) So this guy got winched up did very
well, we flew him to again to the most appropriate hospital with appropriate
anesthesia and he did very well and he actually released a press release, and
said I'd like to thank all the staff at the Royal Victoria Hospital who helped me
intensive care, surgeons, nursing staff. One of our paramedics said
afterwards no that's gratitude for you how does he think he got there ?
In Santa's Fecking Sleigh! :) :) So, sometimes your input is
unappreciated, but that's not why we do it, We do it, for this reason! So I think that's me out of time,
so I think I'll stop there.
So thank you very much. Wow that was an awesome talk, thank you
very much does anyone have any questions to put to
this man he's clearly seen it all. And practice and I mean we we do the way
that we run this usually we do the first lap of each risk the warm-up lap in the
last lap and that allows us a bit of oversight so we do the first lap last lap and warm
up lap for a few reasons so if an incident is going to happen it will
usually be on one of those three when you have a pack heading out
together on cold tires for fuel loads and it means that we have oversight as
well so if something has happened on the last lap of various has been lost and
radio traffic we can still pick it up and it allows us
to keep a little bit of temperature in the tires so just enough to go ecology has yeah we do it's one of the reasons we
put such a strong perspective in the scene sometimes we will get through them and
they're so soon after the incident and these guys are operating up to your
close to their lactate threshold this has been quite well studied and
professional motorcyclists there they're like any other athlete throughout their
lock threshold so all of them are sweaty all the more tachycardic all of the
dreadful and some of them are altered because they're very agitated they want
up you know they've just crashed out of the race and so you sometimes have to take a
little creative time just to let the dust settle and I like him to declare
themselves and be cognizant of what just happened to them so if we see is some of the scenes that
we've seen with the writers been fine we give them a couple of minutes to
declare themselves and the flip side is true as well and there's been some bad
talks done recently a directed graph the visas talked about the impact bring out
there and we see that a lot we see lots of guys that you get to them
and build up dad you know they're there are no breathing
they're blue or black you take the helmet off you do simple
maneuvers provide oxygen while you're setting up for an RSI and by the time
you've set up your cat dump their week and they're saying you know what what
happened was the bike or position of my own that I went to sort of thing so so
we see that a lot we see me before five of those a year and it's just a sort of
reflection on this sort of quickly were on scene and because we have the luxury
of being side these guys often let me crash but we do see that a lot more
simpler way maneuvers and these guys are back on our feet in a few minutes speed the live is another yes they are I have lots of slides and
this is well but just time was of the essence so they have the letters are
becoming more and more and elaborate before it was just lather at now you've
got angry skin and there's ray skin on some of the abrasion areas and this
areas of titanium hips are reinforced Kevlar and so you have to the structured
approach the calling ladders if you just go out it with a part of
cuts and try and cut through race again you have no chance and so you have to
take a moment and actually it's a nearly like finding an extrication from the
vehicle you have to look at the person's letters
and decide where the seams or the stretch panels where's the reinforced areas I'm going
to cut this so that it doesn't turn into a bitch recession and ideally you want
the ladders to come off and look a bit like a bear skin rug afterwards so there's only a couple of cuts and a
whole thing falls away but you did it does take a bit of forward planning to
come up with a strategy for each different set of letters each
manufacturer will be slightly different yeah quad bikes i think pined for pine
to the most dangerous vehicle in the entire world so that's why i only have
to them the quad bike sir are a funny based
because it's quite difficult to be ejected from a quad bike without it
rolling over you and that's the classic quad bike injury is a rollover injury
and where someone flipped it on the bikers has provided over the top of them
so they seem to be tremendously unforgiving so i would say and be aware
these patients come have continuous injuries and different body systems and
and that seems to be the our findings from quad bikes is that you rarely have
an isolated injury because the only way ready to break your tab and fed with a
quad bike is for it to roll over the whole body so be aware and like any trauma patient
you know it expect the unexpected with them yeah yeah this there's a lot of work has gone into
this cat and a rate which we've gone through a thief it through a few things
as we tried Thomas packs and which was impossible you know after three weeks or three days
of the Northwest 200 you just you can try them anymore so this system is an American system at
swedish and it's four punches that said at waist level so when your site on the bike was very
light load on you and it keeps the center of gravity in the middle so it
doesn't really affect writing and in the backpack we try to keep the weird as low
as possible in it so we still care about 20 25 kilos worth
of cat but it's spread quite nice and evenly and and there's a lot of work
goes into try and keep ourselves reasonably fit for the start of the
racing season because this is hard work this is really hard work and and it's
difficult jumping out of a helicopter to treat someone it's even more difficult if you have to
write nine miles flight on cold tires and operating a hundred eighty miles an
hour at times and then jump off and then run into a field and then treat the
patient so there's so we have to the equipment
has to be right and yourself has to be right and free hospital medicine is
probably one of the only feelings in medicine were your health can actually
even in an impact on the patient cycle so we think very carefully about how we
package the kit and we keep ourselves and reasonable next so that we can do
the job yeah we control the tightly in the systems
that we run a very very robust and this radio communication from every side .
Around the circuit and in between so that we usually set off before the race
is nearly come to stop so if an incident happens it stopped by
way of red flags so flags might everyone slows the racing
speed dying and we go life so by the time that we reach an accident
the track is still life but controlled and and then whenever you reach the
accident the bikes will start to filter back to
the grid and then the track is it still not open and but that's when you'll find
that for example spectators start wandering Knight and so part of our
strategy is to go quickly and the citizen instance declared and then the
circuit can be gradually brought down to stop and I'm bringing something like the
northwest 200 to stop this very difficult you can have 50 bikes over
nine miles holding three figure speeds and so it has to be it can't just be
stopped it has to be sort of brought down
gradually over a minute or so and so we do have quite a lot of systems and
placed to make it see if okay one final question from anybody ok but track it depends we have a number of people
that would be able to set up to transfer and when we used to just pick the most
appropriate one and method for transfer is quite difficult northern islands the
only place in Europe that doesn't have an air ambulance we don't have a helipad that are
allegedly regional trauma center and so we very often do most of our transfers
by land and which is why the the interventions done on scene and on writ
or so important and so we do you like any service to try and deliver them as
optimized as we possibly can generally if it's a big enough incident
that all the medical staff for that will attempted and four races stopped and
everyone just comes and generally they arrived in dribs and drabs as they can and so there is everyone's usually
involved in some way and either infrastructure taking care of the track
you fearing an exit for the ambulance and so everyone is usually fairly brief
as to what's happening and then the most appropriate person goes yeah yeah.
one of the few places in the world where we still do motorsport on closed
public roads and so whenever we race motorbikes back home, we do on the
highways and byways and you can see from this picture of me at Armoy Road Races,
there's Not an awful lot of room there there's a lot of spectators in the background.
This is about 265-Kmh /165-MPH. We're jumping about 3 feet in the
air and the guys that are really fast are much faster than I'm going over
this so if Twitter's taught me one thing over
the last year it said anaesthetists fairly boring individuals, they sit in
theater and they give Propofol put laryngeal masks and they read the
paper, we'll invite anybody to come and sit in my office with me at the weekends
and we can see how exciting anaesthetists can be, so the Road
Racing scene is quite unique the circuits or maybe 11 to 14 km / 7 to 9 miles
long and the infrastructure isn't great you can see they're mostly hedgelined
they're public roads and their small roads so they're slightly too short for a
helicopter to be useful they're slightly too long to have a series
of ambulances and medical cars so one of our strategies is to use rapid response
motorcycles like I ride and they cut the circuit down quite quickly you
can be on scene very fast So this is one of the strangest conflict
of interest slides you're ever likely to see So I'm sponsored by Dainese Leathers, Arai Helmets, Daytona Boots, Bridgestone Tyres and Motul Oil so, if you don't use any of these
products you'll almost certainly die :) So this is our team it's not just a one man band we do have
fully stocked medical cars and paramedics other doctors but the first
response that in our environment is by fast response bike so this is me on my fast response bike
this is me talking to Michael Dunlop who's a multiple TT winner and he's one of the
most normal individuals you'd ever find when you're speaking to him one to one,
This is michael dunlop minutes later and this should give you some impression
of the environment that we race in and this is the 'Southern 100' this is
probably about 250-Kmh / 155-MPH. There's a stone wall
about maybe 2' feet away from Michael's head and he's in a group of bikes all
trying to get past each other and so these guys aren't sane :) the speeds are
incredible, this is the 'North West 200' somewhere like the 'North West' the 'ISLE OF MAN' TT the 'Ulster Grand Prix' the average speeds are now in excess of 210-Kmh / 130-MPH that's an average speed, maximum speeds in
excess of 322-Kmh /200-MPH. So whenever these guys crash they crash big and
whenever they come off their bikes they travel at an enormous speed they can be very lucky and they can be
very unlucky in their crashes so really what I'm going to try and do today is
take you through some of the cases that we've seen and some of the learning
points they're often this very unique environment, and so first of all this
case was actually from a short circuit so it's not a road race at all, but it's
to give you some idea of the acuity Did my microphone just die.
Ok so it gives you some idea of the
acuity that we work in and this is quite unique for us, so even the best
helicopter service in the world there's still a lag of a few minutes before they
can get patients sometimes we state patients and within the first seconds of
the dying process and this is just one such chap so to orientate yourself this is looking
dying the start/finish straight under the last corner and this chap came
powering out of the last corner down the start/finish straight and we
saw him coming and this was a practice session so he came out 80-MPH ,
90 , 100 , 110 200-Kmh / 120-MPH still accelerating you could hear i'm kicking up the gear
box in the bike, and as he came on to the start/finish straight he started looking
down the side of the bike and he started working at something down the side and he was adjusting a
transponder as he was coming down the start/finish and it was a bit like someone
changing a CD in a car on the motorway he slowly started drifting and we
were sat on the other side of this wall and we could see it coming and we
thought, awh surely Not, but yes he rode straight into the end of the pit
wall, at about 210-Kmh / 130-MPH. And you can see from sort
of the size of some of the stones that he's ripped out there, this was a massive
massive accident so we were on the scene really within
10 seconds of this guy's impact and he was dead he was in traumatic cardiac arrest and
we got the race stopped and like most services we have a very structured rapid
approach to traumatic cardiac arrest and so there's no CPR and no clear fluids no
idea access you get a tube bilateral thoracostomy a pelvic binder on quite
rapidly and then a reassessment and with those three interventions he had an output
back, so very very rapid bilateral chest decompressions, 2 lungs down,
dreadful maxillofacial injuries but he got an output back he was then anaesthetized and transferred
to the most appropriate hospital as is our want in the pre-hospital
environment but you can see from the sort of level of devastation this guy
decelerated from well over 200-Kmh / 120-MPH. Within a couple of
feet he just hit that wall and stopped dead and it's
sort of a reflection on how structured approach within the early stages of the
dying process and traumatic injury can have a good outcome this guy's now back running his own
business but you can see the sort of devastation it caused, so racing is
dangerous and this is me I know racing is dangerous, i have been
that man, I have lots of metalwork I've been in hospital lots of times, I've had
lots of operations and I still don't learn so all these are me, one of the principal
things about Racing on the roads is the furniture and it's the stuff that's
lying about this dangerous this is Michael Dunlop again and you can see how
close he's coming to that stone wall this is again in excess of a 160-Kmh /100-MPH wheeling leant over looking up the road and brushing a stone wall with his shoulder but you can see someone tied a straw
bale to this stone wall that's fine :) That's safe enough :) that's legit :) So the speed and the environment that
you race in is the problem this is 'Martin Finnegan' and this is again a
notorious section track at the circuit called the 'Tandragee 100' and this
is also again 260-Kmh / 160-MPH. Flying through the air and it's a
dreadfully cruel sport and literally about two corners after this was taken
and 'Martin Finnegan' was dead he overshot the corner and hit this grass
bank and he died so it's a fantastic sport, it's also very
cruel sport.
So a couple of things I'm going to talk
about, first of all beware of fire we always start talking about scene safety
when we're pre hospitalists and there's a few ways that bikes can burn they can burn instantly, they can burn
after a couple of minutes, there can be a missed burn when you get some petrol/gasoline
leaking and then someone moves the bike and up she goes on a quick shifter as well as a
device that cuts the ignition and this can sometimes cause problems when you go
to move a motorcycle so this is an instant burn this is a
bike that's hit and has exploded the petrol/gasoline tank and up she goes so it's very straightforward this is
quite an obvious one. This is a delayed burn this is a bike that's fallen over
and has been leaking petrol/gasoline and the marshals have gone to lift the bike and
as they've done that petrol has poured onto the hot
exhaust and its burst into flames but you can see they're dealing with in
a fairly controlled and calm way :) this is the every man for himself
approach to, and you would expect that this guy here if he had the chance to be
throwing women and children behind him :) to try and douse the flames :) So this is
a friend of mine this 'Guy Martin' and this is racing in Germany racing go-karts
actually as a matter of interest you can see Guy's there in the first step of
the podium and then the second step of the podium the angry looking man on the
phone is actually the European go-kart champion at the time, he got fairly
roughed up during this:) but Guy had a very impressive crash at the TT races this
year, he crashed with a full fuel load the fuel tanks on these bikes superbikes are full of aviation fuel, so
they may be carrying 20 liters of the highest octane race fuel you could imagine and if you look high up in the photo you
can see the fuel tank flying through the air, up there, if you look a
low in the photo you can see Guy Martin there's his leg, so if you look down low
you can see Guy's leg coming out of the fireball, this was a big crash this was in an enormous crash.
There's what's left of the bike and Guy was fine he was grand, he'd a couple of
fractured vertebrae hemothorax, that's fine for a
racer :) So this is another example of a bike
burning this me standing about at a Road Race in the South of Ireland and
we do an awful lot of standing about waiting for things to happen. There
was an incident occurred the red flags went out, so we all mobilized and off we
went so the rapid response bikes took off and we
headed off to the scene. This is what we were met with the fairly standard
pre-hospital scene you roll up and with motorcycles the first thing you do is
count the number of patients, count the number of bikes, and see if they match
because if you have more bikes and you have patients someone's missing, they're either under a
hedge or there somewhere you don't expect them.
So we have one bike one
patient this is the patient, on first
assessment he was fine he was talking he was he was grand to all
intents and purposes, but there was an enormous amount of activity happening in
the garden that you can see in the background, there was an awful lot of
flapping and shouting and panicking going on so we did a quick assessment of this guy
he was fine we split the team and some of us went up into the garden to see
what the hell is happening up in there what we were met with was we find
the bike and it had made its way up onto this fence and unfortunately there was a
group of people leaning on this fence watching the races, if you're a fan
of motor sport the motorcycles you'll notice that the fuel tank is missing
from this bike and this is the first lap of the race so essentially this bike left the track
was a big tank full of 20 liters of high-octane aviation fuel strapped to the
top of it, it hit this fence where there was a lot of people enjoying a beer, and
exploded, so we find the fuel tank just over the side of the fence it was still on fire, hence the fire
extinguisher, so we had to go looking for the patients then, the first thing we did
was put out the fire very important, oxygen is supposed to
the first point of contact for critical illness not if the person is on fire, it isn't :) so, we then find the patient we find an
elderly gentleman on fire lying in the middle of the garden, so
the first thing we did was we put him out and there's a bit of a flurry of
activity going on here we got ourselves together, we were then able to assess the
patient this man was wearing a pullover, when he
was leaning against the fence you can see it's exploded and burnt
of him, you can see his trousers have been burnt, he's a bit combative, his airway
was rapidly being lost in front of us his face was visibly swelling because this was high octane
race fuel. This is my concerned face :) it's important to have a concerned face,
but your concerned face should never change regardless of the situation that
you're in, so even if you're faced with the dreadful airway in the pre-hospital
environment :) your concerned face should be no more severe than if you're taking
the fairing off a bike working in a workshop because you have to bring some
element of calm and control these situations they're not good ones there's nothing to be gained by panicking
and flapping about, so we know what this man needs he needs an RSI, we've got a
system to do that we've got a team that can deliver it so there's no need for concern here, so I
told myself :) So again like any structured pre-hospital service we've
got a way of doing this, we get our equipment together, we've got suction
and oxygen we've got expert help at our right hand
side, we haven't rushed in we're going through a checklist for checking
our equipment and this guy was tricky you can see the amount of equipment that
starts to build up when you're delivering a pre-hospital RSI it
shouldn't be done in a hurry it should be done in a controlled
fashion and this guy was tricky he was a tricky airway, he needed a
second look with a boogie, much smaller tube than we anticipated, it was a 6
tube was the only thing that would go through this guy's vocal cords, and he
remained with that size 6 tube for the first 3 weeks of intensive care
stay, because nobody had the courage to take it out :) This guy did very well he survived you can see obviously had
life-changing injuries, but he was alive because of a good intervention
from a well-drilled team. So you are faced with strange scenes
sometimes, and with bikes it's odd if you crash your car you can pretty much
predict what energy has been transmitted if the cars badly damaged, good
chance the patient is, not the same with bikes, so you have to treat the injuries
you find and also what you expect to find. So this is an accident scene, this is the first corner of a race we were sat at the back of the grid watching a chap as he
pushed the bike out of of the paddock and he was in a state of
tremendous anxiety, because the race has been called and he wasn't ready he
was still adjusting his brake lever as he got on to the start/finish straight
never a good sign so this guy was still working on his
brakes as he was by the set off and you can see eventually he reached a certain
stage and the bikes for setting off and he just went ah feckit it'll be
fine Waahhh, and off he went so this was the
first corner :) and he arrived at this and pulled the front brake lever and it made a
slightly funny noise and nothing else happened so he crashed, so this is what we were
faced with so we hopped over the fence and find the bike, very important part of
pre-hospital medicine is the concept triage if you have more patience than you can
deal with you have to assess who's salvageable and we made a quick call on
the garden gnomes :) down here in the bottom of the screen :) and you can you can see
they've just been flattened completely so no hope :) we had a quick look at the
bike you can see the forks have been ripped out of it, the wheels gone so we know
that the motorcycle is had a significant bang, fortunately some
keen environmentalist had dropped the fuel tank into a bucket for us which is good :)
The next clue that we find was a divot in the ground and that divot is
suspiciously person shaped so we know we knew that this guy had gone in and hit it
like a bouncing bomb and just skipped over So, we still hadn't come across the
patient by the stage but we're starting to build in our mind, you know, what this
guy is going to be like, in fact he was fine, his only complaint was of a
painful right ankle and you'll have to excuse the spinal board this was back in
the day.
So we packaged him as we did this was our want at the time and
we have to look at this guy's ankle and it was quite bad it's an obvious fracture dislocation
and his toes were going a bit white so we don't only deal with just a big
life threatening complications we also deal with
life-changing complications like ischemic feet so with a good performing team we can do
sedation analgesia and reduction of these things and this was a Ketamine sedation. Now if you look closely you can see that
the Ketamine syringe has ended up in this marshals mouth here :) because sometimes you don't always have
a clean environment to set your equipment down, and our doctor fred
decided the cleanest environment was just to pop into that guy's mouth then :)
You can see that Ketamine is quite clearly a dissociative anesthetic because all the pain has moved into the marshals face :) If you look here closely :) So types of crashes, there's a few
different ways to crash a motorbike the commonest one and you'll see this if
you're a pre hospitalist is someone arrives at a corner and they just give
up they think we're going too fast and they
run out of Road and they hit usually an oncoming vehicle is the most severe one
if you're going to have a crash all on your own you can do it two different ways, you can
either lose traction from the front tire so you're going around a corner
the front tire loses grip and the bike just falls over and you slide and crash
very pleasant way to crash if it's not your own bike :) and you just sort of slide
to stop. The other way though is a high-side high-side, this is not so comfortable if
you've ever done it This is when the rear wheel loses
traction, so the bike sort of spins out it will eventually grip and it'll launch the
person into the air, this is a rider called 'Jamie Whitham' if you've read
Jamie's autobiography this is one of two occasions in his
racing career when he shit himself :) so this is quite unpleasant for him. But you can see if you get
information from an ambulance crew that someone's had a high side crash,
it's a fall from height and this can be 210-Kmh / 130-MPH, so it's
essentially like climbing out the roof of your car, by the windscreen and jumping
off, so it's not a very pleasant way to crash, the other unique aspect of bikes
is that there is a potential for you to be run over by your own vehicle once you've fallen off it, or someone
else.
This is 250 championship this is 'Andrew Courtney' and 'Davy Morgan' and
Andrew Courtney fell off and Davy Morgan ran him over. Both riders were fine, apart from
Andrew Courtney's boxing fracture which he development in this sort of post race
analysis here :) So, a top tip would be don't punch
someone with the motorcycle helmet on :) So this is another example of someone
running over themselves this is 'Cameron Donald' and if you look at the second
picture you might be able to appreciate that his front Tire is slightly turned so he's
lost traction and he fell off now this should have been a pleasant
crash nice little Low-Side crash because he's only got six inches to fall and in
theory he should slide to stop but Cameron's bike had other ideas and it chased him, and clip him in the back of the head and pushed him across the circuit
into the straw bales so he had a fairly significant thoracic spinal fracture
simply because a simple accident the bike chased him and hit him. You can get run
over by other people as well this is me yet again this is me racing some supermoto in
the offseason and I thought I was quite the chap here until a few corners later when I fell off and got run over by
my own bike and then by someone else :) This is an interesting slide actually, I've had 2 crashes racing supermoto and this same guy has ridden
over me on both occasions :) So I'm going to go through 4
mechanisms of concern because I've tried to keep this concise I don't want to rabbit
on too long, so 4 mechanisms of concern if you're pretty hospitalist or
if you're receiving physician in the emergency department, 4 things that
should alert you as areas of concern he had the curb, he's got broken feet, but
is unexpectedly unconscious there was a boot that's come off, or he's had a head-on collision on the apparently isolated femur fracture so (1) first hit the curb, if you're sliding
along your back an 18" inch high Kerb might as well might as well be a 10'
foot high brick wall so if a rider has hit a kerb one of two
things will happen, they'll either stop dead or the launch off that kerb and go flying
through the air this is someone hitting a kerb and stopping
dead, and then getting ridden over so this is a compound injury, so although
this chap was quite well the photographer that took these photos
rushed up to us and said you want to see this, because you can see the amount of
rotation he's had on his head when he's hit that, and then someone's ridden over him.
So we were careful with this guy we packaged him appropriately. (2) The other thing you can do is use it as
a launch pad, this is Steve Plater at the 'Northwest 200' Steve hit the Kerb and
launched himself through the air so he didn't come to a dead stop he
had a big fall from height because he hit the kerb steve was also fine he had a few
fractures that needed attended to, but he was grand afterwards you can see, a
couple of fractures cervical spinal injury, chicken feed for a racer :) (3) Helmets :) this is this is one of my favorite
slides because this guy actually has a helmet it's down there, in the front of his bike, but
he's too cool for that :) Helmets have made an enormous
difference in reducing injuries this is a great example of it, this
is a chap called James McCann who crashed at 'Kells Road Races' now even if you're not
interested in motorcycle sport you can probably tell he's gone in too fast to
this corner and he's not making it so he had a crash, and he took out he took out this rider called James
McCann on his way, poor old James didn't know what hit him.
Now James slid along and he's sliding
towards what looks like a suspiciously soft grassy Bank there, but things
sometimes aren't always what they seem James hit this with his head and this is
about 210-Kmh / 130-MPH. By the way, and you can see this is actually a
stone wall so if you look very carefully he's
ripprd out the first stone with his head, there, and he proceeded to slide up
the road with lots of stones following him. So if you look you can see the sort of
stones that have been ripped out of that wall with James head, if you also
look along the grass verge you can see James up and walking about so there he is there, and the reason he's up
and walking about is because he's looking for his bike to get back onto it :) So mechanism of injury sometimes is
unreflective whenever it's describing people say, he slid along, hit a stone
wall, and you think, he looks suspiciously good. Helmets also come into their own if
there's a bit of wildlife about :) this happens quite a lot of phillip
island in Australia, it also happens in the 'ISLE OF MAN' TT - where you can collect
all sorts of wildlife, this is 290-Kmh / 180-MPH.
This is coming down to the top of Bray
Hill, a seagull to the forehead at 290-Kmh / 180-MPH, I can assure
you hurts, so helmets are quite good at protecting against the unexpected. (4) His helmet came off,
this is something that we used to hear a
bit the old style helmets are quite poor sort of central bits in them, so
sometimes they would rip the center of the helmet out, and the helmet would come
off and the lining would stay on the head. We don't see it so much anymore.
This is one that we did have recently though you can see the scene of the accident is
farther back up the road and the white object in the middle of the slide is the
guy's helmet this chap crashed at about 220-Kmh / 135-MPH at the same place that i showed earlier on,
'Cooly Hill' and his helmet came off as part of the accident his helmet came off because he got hit
by the bike and it split the helmet you can see it's sort of bull's-eyes and
crosshaired the helmet and it ripped it right off his head this guy was another shining example
of how well functioning pre-hospital team can change lives, because this guy
was GCS 3, blown pupil, unconscious, snoring, face down, helmet lying further up
the road, he had a rapid sequence induction, neuroprotective ventilation,
thoracostomies, pelvic binder, transferred to a
neurosurgical center, we had a dreadful head injury, but he got out
of hospital just in time for the birth of his baby daughter, so you can
actually change lives with a high performing team. If you're examining a
helmet be very careful with your assumptions these things are designed to be a
crumple zone so sometimes the helmet can look dreadful and the patient will be fine sometimes
the helmet can look fine on the patient will be dreadful so we do look at helmets, we do examine
them, but we don't draw too many conclusions from them now if you want a good example of a
high-functioning team this is probably as good as slide as any and this is a sort of 3 or 4
consultants working on a trauma patient the chap at the airway is a GP,
the chap doing the thoracostomies is me, that's an anesthetist, we have a cardiologist putting on
pelvic binder and oversight by a G.P.
General Practitioner so if you've got a good functioning team
any member of it should be able to do most roles. Broken feet reduced level
of consciousness this is one that caught us out a couple of times in the early
days, if someone has slid along at a significant speed and have hit something
feet first it's like fall from height so you'll get
the occasional typical calcaneal fractures in someone that's unconscious,
so if someone has broken feet and are a bit think obtunded, think internal cerebral hemorrhage or base of skull or high spinal. Okay helmet removal, helmet
removal is safe, I just wanted to put a couple slides in here, use 2 hands
2 people take the helmet off we do this about 200 times a year
we have no second a neurological sequelae, we've done about 2,000 over the
last 10 years taking helmets off is fine it's safe. Occasionally you need a plan
'B' though, we've had a couple of helmets I've seen someone hospital practice were a rider has crashed and the public roads and have lain for a while before
they've been found and they come in with their heads swolen into their
helmets and you can't physically get it off so our strategy for this if you've got
very little space in there sometimes the helmet simply won't come off, use the old jiggly saw, so if you do have
a helmet that stuck and simply will not come off you can destabilize it provide a route for
oxygenation and ventilation and then take it off in a controlled fashion so
if you use a jiggly destabilize it and just remove the entire front of it you'll get good access to the airway and
then you can then proceed in a controlled fashion so if you're, so you can get right at
the face, now this is not a plan 'A' this is a plan 'B' it's extremely rare for this ever to
happen, just take the helmet off would be my advice, if you're a
little bit worried about getting a jiggly saw in by someone's face
cut an ET tube and push that in first and that will give you a little conduit to put
your jiggly saw down through and then you can take the face plate
off, so very rare but a bit novel.
Now speed humps these are a curse, speed
humps are a device that are there to allow the rider to be more aerodynamic
on the bike so it allows the airflow over the motorcycle to be quite
smooth they have no relationship to safety
whatsoever what they do, is render someone in an un-intubateable
position if they're flat on their back so this is a rider lying flat on his
back with the speed hump in, and you can see from the position his neck is in, he is un-intubateable, the c-spine is not safe and you will not be able to intubatabe
this man, so it's the opposite of this position really so if you encounter someone with a speed
hump take it out it's very simple to do, if you just
run a knife down the outside and cut the leather the hump comes out, you can also then spin
it round and use it as a little pad for the back of the head to elevate them
into the neutral position, so we do this as almost the first thing we do when we
encounter a rider, cut the hump out and take it out of the
equation. Right last case i think this is a head-on collision apparently isolated femur it's virtually
impossible on a road bike they had something head on and just
break your femur because you always rotate around the tank, so the tank will hit the femur and the femur will open so if you get an isolated femur be
highly suspicious of the pelvic injury. Always put a binder on these guys if
they're in any way sketchy, this is one of my best mates, this is a guy called
'Herbie Ronan' again if you're not a motorcycle enthusiasts you can probably
recognize that Herbie is not making this corner he blames this chap on the yellow bike
exclusively for this accident and the guy on the yellow bike was nowhere
near him, but Herbie didn't have a good day, this is another suspiciously
soft looking hedge and again it's another suspiciously soft looking hedge with a
stone wall behind it, so Herbie went sliding up the road, and Herbie got his foot stuck in the hedge, and that opened his pelvis big style, so Herbie's boot got tore
off, you can probably see see it following him up
the road big pelvic splay injury there's the boot
following him, Herbie slid to a halt up the road and came to rest, and this is
not a great situation to come around and find your best mate, head down, fractured
pelvis, no boot, broken arm not in good shape at all, so Herbie,
we have a fair idea his pelvis was broken from the mechanism and from the fact that
Harvey said to us feck my pelvis is broken :) :) so There were two very strong diagnostic
clues in that picture, this is Herbie's X-ray not good, I'm pleased to say Herbie's now fine
again this is him in his element with an
ice cream, loving it :) so Herbie's now back racing again and after long
protracted stay in hospital so beware of the boot lying in the road,
so for some reason if you're about to have a crash in a motorbike your brain
reverts back to when you were 8 8 years old riding a BMX and you try and put your
foot down, I have no idea why this is but everyone does it this is a world champion that's about to
make a fairly sketchy overtake and he's panicked a little bit he's put his foot
down, if you put your foot on the ground 290-Kmh / 180-MPH you're foot will point
backwards within about half a second so the only way for a
motorcycle boot to get torn off if it's appropriately fastend and fitting is for
the foot to face backwards and that's the only way the boot can come
off, so if you find a boot in the middle of the road it means that leg has faced backwards
and the only way for that leg to face backwards at 160-kmh / 100-MPH is
for the foot to rotate the tibia and fibula to break, the femur to break, and
probably the pelvis as well, so if you find a boot has come off be very
suspicious this is what it looks like, the first
picture wasn't captured by the photographer, but if you look there
you can see a boot flying through the air so if you have a look high up in the
slide there's a boot so the rider that's just out of shot was coming down to start
finishing and the chap on the yellow bike panicked him a little bit, so he put his foot down and as soon as he did that his leg went
through a couple hundred degrees of rotation and tore his boot off, broke his
leg and he fell off the bike now there's a couple of things to notice from
this from the sequence of slides the first thing I want you to keep your eye
on is the guy sliding up the road with no boot on, so you can see him there
with no boot on and the other thing is the marshal
behind this pole because this man is like a ninja, he's unbelievable so this bike is coming at him
at probably about 210-Kmh / 130-MPH. And it's flying through the air there it is about
6' feet away from him at head height and again have a look at the chap sliding
up the road with no boot on.
So the bikes coming at him again, it's about 3' feet
away from his head now, and he's kind of he's casually taking his hands out of his
pockets :) and preparing to mosey mosey out of the way in a controlled
fashion, so the slide we see he's now had a wee sit down :) and the bike has hit the
telegraph pole just behind him and again you can see our chap sliding up the
road here in the foreground, and on the bike bounced off, and you can see this
marshal just bounces straight back up onto his feet again as if nothing has
happened so it's really quite impressive and he put his flag out then at that stage :)
So you can see our rider, when we arrived to him he had no obvious complaints apart from the
fact that his leg was sore and you could be fooled into thinking this is an
isolated ankle fracture but if the boot has come off there has been devastation
has gone on in that leg and we had a series of these now. LEM injuries are quite
prevalent in our sport so you can see this is a significant degloving injury, I like this slide for a couple reasons because there's the
first responders on team are a consultant anaesthetist senior paramedic and another
couple of paramedics are not one of them is looking at the degloved foot they're going through their structured
approach ABC CABC whichever you prefer and they've given
the obvious injury a damb good ignoring, and we have a cohort of these
guys now that are racing, and this is 'Robert McCrum' if you look very carefully you'll
see Robert's has a false leg on, this is Robert's walking leg this is Robert's racing leg, so he's got
two different legs the walking leg stays back in the paddock and the racing leg
goes on when he was out on the bike this is 'Robert McCrum' with his walking leg on
sitting in the paddock, Road Racers are tremendous that ignoring risk this is the first time that Robert was
back on the bike after his below knee amputation, and you can see he's quite pleased
that he's back out on a motorcycle again but Robert is tremendous and ignoring
risk, if you look closely in this photo you'll see first of all he's
sitting on 40 liters of aviation fuel :) and secondly he's smoking a roll up cigarette :)
That's pretty hardcore. So this is Robert the first time he was
back out, he won the senior classic championship
on the roads, and this is him with Dean Cooper who was the chap you saw on the other slide
with his foot degloved both back racing. So 4 mechanisms of concern
if you hear these be aware, he hit the kerb or the person has broken feet but
they're suspiciously unconscious there was a boot lying in the middle of
the road, or it was a head-on collision and apparently an isolated femur, and last
couple of slides I just wanted to do a couple of them if i'm okay for time.
So Spectators spectators are our biggest pain in the
ass the racers are fine spectators are a nightmare bloody
spectators as we call them because if you think road racers are good at
ignoring risk spectators are in another league altogether,
this is one chap for example :) it was watching the races at the 'Northwest 200'
and this guy, this slide is quite impressive, this slides even better when
you see where is, because every time we came round on a lap this guy was
swaying slightly more in the tree because between each race he would scuttle down
like a monkey and bring another six pack up with him back up to the top of the tree :) This is another great example of a
spectator, this chap we got called to at the 'Northwest 200' this guy was watching
the races, had a of feed a drink, needed to go for a piss, couldn't find anywhere
thought that cliff edge looks like the very spot.
So this chap sort of rambled up to the cliff
edge and was having a pee off the edge of it as you do, he got caught by an unexpected
gust of wind and over he went, this is over 100' feet
of a drop, we know that because we couldn't winch with a
helicopter, we had to do a ground winch. This is a great human factor slide
as well, this guy was very badly injured and closed head injury GCS 6, obvious
humerus, pelvis, femur, he'd had a big smack so intubated, and then we had to
get him out. A great human factors slide because this is me here, we
don't train for winch retrieval because there's only one cliff in northern
Ireland and this is it :) This chap fell off it, so it wasn't
something that we had really prepared for, so if you look from left to right
you'll see a hard hat, hard hat, Hard hat woolly hat :) and if you look from left to
right you'll see safety harness, safety harness, safety harness, and see if you can spot
my safety harness in this picture :) there it is down there at the bottom of the cliff.
So I was about 80' feet up when I realized that I didn't have my harness on, and i can tell
you I had a Kung-fu death grip on that stretcher :) So this guy got winched up did very
well, we flew him to again to the most appropriate hospital with appropriate
anesthesia and he did very well and he actually released a press release, and
said I'd like to thank all the staff at the Royal Victoria Hospital who helped me
intensive care, surgeons, nursing staff. One of our paramedics said
afterwards no that's gratitude for you how does he think he got there ?
In Santa's Fecking Sleigh! :) :) So, sometimes your input is
unappreciated, but that's not why we do it, We do it, for this reason! So I think that's me out of time,
so I think I'll stop there.
So thank you very much. Wow that was an awesome talk, thank you
very much does anyone have any questions to put to
this man he's clearly seen it all. And practice and I mean we we do the way
that we run this usually we do the first lap of each risk the warm-up lap in the
last lap and that allows us a bit of oversight so we do the first lap last lap and warm
up lap for a few reasons so if an incident is going to happen it will
usually be on one of those three when you have a pack heading out
together on cold tires for fuel loads and it means that we have oversight as
well so if something has happened on the last lap of various has been lost and
radio traffic we can still pick it up and it allows us
to keep a little bit of temperature in the tires so just enough to go ecology has yeah we do it's one of the reasons we
put such a strong perspective in the scene sometimes we will get through them and
they're so soon after the incident and these guys are operating up to your
close to their lactate threshold this has been quite well studied and
professional motorcyclists there they're like any other athlete throughout their
lock threshold so all of them are sweaty all the more tachycardic all of the
dreadful and some of them are altered because they're very agitated they want
up you know they've just crashed out of the race and so you sometimes have to take a
little creative time just to let the dust settle and I like him to declare
themselves and be cognizant of what just happened to them so if we see is some of the scenes that
we've seen with the writers been fine we give them a couple of minutes to
declare themselves and the flip side is true as well and there's been some bad
talks done recently a directed graph the visas talked about the impact bring out
there and we see that a lot we see lots of guys that you get to them
and build up dad you know they're there are no breathing
they're blue or black you take the helmet off you do simple
maneuvers provide oxygen while you're setting up for an RSI and by the time
you've set up your cat dump their week and they're saying you know what what
happened was the bike or position of my own that I went to sort of thing so so
we see that a lot we see me before five of those a year and it's just a sort of
reflection on this sort of quickly were on scene and because we have the luxury
of being side these guys often let me crash but we do see that a lot more
simpler way maneuvers and these guys are back on our feet in a few minutes speed the live is another yes they are I have lots of slides and
this is well but just time was of the essence so they have the letters are
becoming more and more and elaborate before it was just lather at now you've
got angry skin and there's ray skin on some of the abrasion areas and this
areas of titanium hips are reinforced Kevlar and so you have to the structured
approach the calling ladders if you just go out it with a part of
cuts and try and cut through race again you have no chance and so you have to
take a moment and actually it's a nearly like finding an extrication from the
vehicle you have to look at the person's letters
and decide where the seams or the stretch panels where's the reinforced areas I'm going
to cut this so that it doesn't turn into a bitch recession and ideally you want
the ladders to come off and look a bit like a bear skin rug afterwards so there's only a couple of cuts and a
whole thing falls away but you did it does take a bit of forward planning to
come up with a strategy for each different set of letters each
manufacturer will be slightly different yeah quad bikes i think pined for pine
to the most dangerous vehicle in the entire world so that's why i only have
to them the quad bike sir are a funny based
because it's quite difficult to be ejected from a quad bike without it
rolling over you and that's the classic quad bike injury is a rollover injury
and where someone flipped it on the bikers has provided over the top of them
so they seem to be tremendously unforgiving so i would say and be aware
these patients come have continuous injuries and different body systems and
and that seems to be the our findings from quad bikes is that you rarely have
an isolated injury because the only way ready to break your tab and fed with a
quad bike is for it to roll over the whole body so be aware and like any trauma patient
you know it expect the unexpected with them yeah yeah this there's a lot of work has gone into
this cat and a rate which we've gone through a thief it through a few things
as we tried Thomas packs and which was impossible you know after three weeks or three days
of the Northwest 200 you just you can try them anymore so this system is an American system at
swedish and it's four punches that said at waist level so when your site on the bike was very
light load on you and it keeps the center of gravity in the middle so it
doesn't really affect writing and in the backpack we try to keep the weird as low
as possible in it so we still care about 20 25 kilos worth
of cat but it's spread quite nice and evenly and and there's a lot of work
goes into try and keep ourselves reasonably fit for the start of the
racing season because this is hard work this is really hard work and and it's
difficult jumping out of a helicopter to treat someone it's even more difficult if you have to
write nine miles flight on cold tires and operating a hundred eighty miles an
hour at times and then jump off and then run into a field and then treat the
patient so there's so we have to the equipment
has to be right and yourself has to be right and free hospital medicine is
probably one of the only feelings in medicine were your health can actually
even in an impact on the patient cycle so we think very carefully about how we
package the kit and we keep ourselves and reasonable next so that we can do
the job yeah we control the tightly in the systems
that we run a very very robust and this radio communication from every side .
Around the circuit and in between so that we usually set off before the race
is nearly come to stop so if an incident happens it stopped by
way of red flags so flags might everyone slows the racing
speed dying and we go life so by the time that we reach an accident
the track is still life but controlled and and then whenever you reach the
accident the bikes will start to filter back to
the grid and then the track is it still not open and but that's when you'll find
that for example spectators start wandering Knight and so part of our
strategy is to go quickly and the citizen instance declared and then the
circuit can be gradually brought down to stop and I'm bringing something like the
northwest 200 to stop this very difficult you can have 50 bikes over
nine miles holding three figure speeds and so it has to be it can't just be
stopped it has to be sort of brought down
gradually over a minute or so and so we do have quite a lot of systems and
placed to make it see if okay one final question from anybody ok but track it depends we have a number of people
that would be able to set up to transfer and when we used to just pick the most
appropriate one and method for transfer is quite difficult northern islands the
only place in Europe that doesn't have an air ambulance we don't have a helipad that are
allegedly regional trauma center and so we very often do most of our transfers
by land and which is why the the interventions done on scene and on writ
or so important and so we do you like any service to try and deliver them as
optimized as we possibly can generally if it's a big enough incident
that all the medical staff for that will attempted and four races stopped and
everyone just comes and generally they arrived in dribs and drabs as they can and so there is everyone's usually
involved in some way and either infrastructure taking care of the track
you fearing an exit for the ambulance and so everyone is usually fairly brief
as to what's happening and then the most appropriate person goes yeah yeah.
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