And he was correct.

他告訴我，每一部動作片都會毀掉我的餘生，他說

It's just not possible for me to watch something involving military tactics or strategy or something along those lines without just picking it apart mentally with all the inaccuracies.

是正確的。

I mean, why on earth are they still saying, "I repeat in the radio?"

對我來說，觀看涉及軍事戰術或戰略的內容是不可能的。而不只是在精神上挑剔它的所有不準確之處。

It makes no sense.

我是說，他們到底為什麼還在廣播裡說 "我再說一遍"？

But that's a different story for another day.

這毫無道理，但這是後話了。

The same though can be said for medical knowledge.

醫學知識也是如此。

Not only are the characters in these TV shows and movies, surviving events, they shouldn't survive,

they're not getting overly injured or if they are, it's just a flesh wound and I still don't understand what this flesh wound business is.

So my hope is that you and I can bond in sharing this pain now.

這些電視劇和電影中的人物不僅在不該發生的事件中倖存下來

Because in today's video, we're going to use the cadavers to look at three types of injuries that I tend to notice the most in these movies and TV shows that just seriously bug me.

So hopefully they can start bugging you in the exact same way.

它們活下來，並沒有受到太大的傷害，即使受到傷害，也只是皮外傷，而

It's gonna be a slightly frustrating one.

我還是不明白這皮肉傷是怎麼回事。

Let's do this.

所以，我希望你和我現在就能一起分擔這種痛苦，因為在今天的視頻中、

First up, we have primary blast injuries.

我們將利用屍體來觀察我經常注意到的三種類型的損傷

Now we've all seen it, right?

在這些電影和電視節目中，最讓我頭疼的就是這些。

That epic scene where our hero is walking away with that massive explosion behind them.

所以，希望他們能以同樣的方式開始騷擾你。

They're not looking because they're too cool for that.

這將是一個令人略感沮喪的過程。

Or maybe they're running, they jump and they narrowly escape this wall of flame coming at them.

我們開始吧

Either way, it's still going to be the same problem, and the problem is the laws of physics.

Because when an explosion happens, not only do you have shrapnel coming at you and fire coming at you, you also have a blast wave coming at you.

[介紹]

And depending on how close you are to the explosion and the size of that explosive device, that's gonna have an impact on what it does to your body specifically.

Now, if it affects your eye, we call that blast eye.

首先是原發性爆炸傷害。

Blood vessels can rupture. Your eyes can start to swell and you can even go blind.

If it affects your lungs and respiratory tracts, we call that blast lung.

現在，我們都看到了，對吧？

You can have bleeding inside of your respiratory tracts, you're aspirating, you could get a collapsed lung, you're just gonna have overall difficulty in breathing.

我們的英雄在巨大的爆炸聲中遠去的史詩般的場景。

But there's two that I mainly want to focus on.

他們不看，因為他們太酷了，也許他們在跑，他們在跳、

And the first one is what we call blast brain.

他們勉強躲過了向他們襲來的火焰牆。

Now, you're looking at a left hemisphere of a human cerebrum.

無論如何，問題還是一樣，而問題就出在物理定律上。

So there's gonna be different lobes like the frontal lobe, the parietal lobe, the occipital lobe in the back.

因為當爆炸發生時，不僅有彈片向你襲來，還有火焰

But what I want you to understand is just how delicate the brain tissue is.

向你襲來的同時，也有一個衝擊波向你襲來。

Right?

這取決於你離爆炸有多近，以及爆炸裝置的大小、

Neurological tissue is extraordinarily delicate.

這將對你的身體產生具體的影響。

And I'm sure this is something you intuitively understand.

如果眼睛受到影響，我們稱之為 "爆炸眼"。

But picture this blast wave coming through, going through the skull and starting to propagate into the neurological tissue.

血管可能會破裂。

It can cause brain bleeds to happen.

你的眼睛會開始腫脹，甚至失明。

If you look closely, you can see all these darkened lines, those are blood vessels, those can rupture.

如果影響到肺部和呼吸道，我們稱之為 "爆炸肺"。

You can also get rupturing of the actual neurological tissue itself.

你的呼吸道可能會出血，你可能會吸氣，你可能會得

You could get the brain slamming into the skull and these are all forms of what we call traumatic brain injuries.

肺塌陷，就會出現整體呼吸困難，但有兩個

And we've seen this in service members through in war for many, many years, right?

我主要想重點談談，第一個就是我們所說的 "爆炸腦"。

Explosions cause traumatic brain injuries.

現在，你看到的是人類大腦的左半球。

Yet, in these action movies, they just seem to survive explosion after explosion and they just go home like it's no big deal.

是以，會有不同的腦葉，如額葉、頂葉、枕葉等。

And it drives me nuts because they should have some pretty serious psychological and neurological damage, simply from the blast wave hitting and traveling through their brain.

The second primary blast injury is what's called blast belly and that's going to affect the internal organs here in the abdomen.

後葉片。

But real quick, because I forgot to mention earlier.

但我想讓你們明白的是，腦組織有多麼脆弱，對嗎？

I'm curious to know what other medical injuries you find Hollywood movies or TV shows are ignoring because these three are by no means the only ones.

神經組織異常脆弱，我相信這是你直觀感受到的。

So be sure to leave us a comment below and maybe we might address that in a future video.

But with blast belly, if you look here at these internal organs, you can picture that blast wave is going to affect them just like it did with the brain.

但想象一下，爆炸的衝擊波穿過頭顱，開始

So this massive organ here is the liver.

傳播到神經組織--會導致腦出血。

This can actually fracture, it can rupture and break here on the side.

如果你仔細觀察，就會發現這些黑線就是血管。

Let's see if I can pull this out.

會破裂。

This is the spleen, the spleen is a reservoir for blood.

神經組織本身也會破裂。

So if this ruptures, you will be bleeding at a massive quantities inside of your abdomen.

你的大腦可能會撞擊到頭骨，這些都是我們所說的

The stomach, which is behind the liver here.

創傷性腦損傷，我們已經在戰爭中的軍人身上看到了這一點。

This little pink thing, hopefully, you can see that. That can rupture.

很多年，對嗎？

The small intestine can rupture; the colon or large intestine can rupture.

爆炸會造成腦外傷，但在這些動作片中，它們似乎只是

And in fact, this is the most likely organ to rupture from a primary blast injury.

他們在一次又一次的爆炸中倖存下來，然後就回家了，好像這沒什麼大不了的。

All of this can happen just because you were too close to the explosion when you're trying to be all epic and run away.

我很抓狂，因為他們應該有相當嚴重的心理和神經問題。

I don't know what's going on. In all these movies, all of this somehow heals.

僅僅是因為爆炸波擊中並穿過他們的大腦而造成的傷害。

As far as I'm concerned, it must be magic.

第二個主要的爆炸傷害是所謂的 "爆炸腹部"，它將影響腹腔內的內臟器官，但因為我之前忘了說，所以要快點、

But you know what really is magic?

我很想知道，你覺得好萊塢電影或電視劇中還有哪些醫療傷害？

The sponsor of today's video, Magic Spoon.

忽視是因為這三個人絕不是唯一的。

Growing up cereal was my thing. I could eat at breakfast, lunch dinner.

是以，請務必在下方給我們留言，也許我們會在今後的視頻中討論這個問題。

It really didn't matter.

但在爆炸腹部，如果你看看這些內臟器官，你就能想象到

I could eat bowl after bowl with a smile on my face the entire time.

爆炸波會影響它們，就像它影響大腦一樣。

But as I grew up, I realized I should probably give it up because it's filled with sugar and a bunch of other junk that I didn't need to be putting into my body.

這個巨大的器官就是肝臟。

But that's what makes Magic Spoon cereal so amazing.

它實際上會斷裂，會破裂。

It's that nostalgia that you once had in a box with none of the guilt.

在邊上，看我能不能把這個拉出來。

Magic Spoon cereals have 0 gram of sugar.

這就是脾。

13 to 14 grams of protein and only four net grams of carbs in each serving as well as only 140 calories in each serving.

脾臟是一個儲血庫。

They're also keto-friendly, gluten-free, grain-free soy-free and low-carb.

是以，一旦破裂，腹腔內就會大量出血。

I mean, come on, that is what we call the entire package.

肝臟後面的胃，這個粉紅色的小東西，希望你能

My personal favorite flavor is maple waffle.

看到這一點，就會破裂。

I mean, come on, who doesn't enjoy the flavor of waffles?

小腸可能會破裂。

In fact, if you don't, I don't think I could trust you and I don't think we could be good friends because it is absolutely delicious.

結腸或大腸可能破裂，事實上，這是最有可能發生破裂的器官。

Plus there's a maze on the back of the box.

原發性爆炸傷造成的破裂。

If that doesn't make you happy, I don't know what will.

所有這一切的發生，都可能只是因為你在試圖爆炸時離爆炸太近了

If you're interested, click the link below and grab a variety pack and try it today

"我 "就會像史詩一樣，跑得無影無蹤。

And be sure to use the promo code Anatomy at checkout to get $5 off any order.

Or you could just visit magicsspon.com/anatomy.

And Magic Spon is so confident in their product, it's backed with a 100% happiness guarantee.

So if you don't like it for any reason, they'll refund your money with no questions asked.

我不知道發生了什麼。在所有這些電影中，這一切都以某種方式癒合了。

So, click the link below and use the code Anatomy for $5 off or just go to magicspoon.com/anatomy to save $5 today.

在我看來，這一定是魔法。

All right, let's get back to it.

但你知道什麼才是真正的魔法嗎？

Next up.

今天視頻的贊助商是 Magic Spoon。

We have bone and joint injuries and Jeffrey has been nice enough to offer a helping hand in this situation.

在我的成長過程中，麥片是我的最愛。

But these ones really bother me because they're almost always ignored in movies and TV shows.

早餐、午餐、晚餐我都能吃。

Go ahead and think about punches, one of the most universal things you see in action movies.

這真的沒關係。

Not even just action movies and TV shows, you see this all over the place; people punch someone and then they just move on and it's absolutely insane.

我可以笑著吃完一碗又一碗。

Like let's just picture a haymaker is delivered right to the side of the face.

但當我長大後，我意識到我應該放棄它，因為它充滿了糖分

You can get multiple fractures in the maxilla bone, the Zygomatic bone, the mandible, right?

和一堆其他垃圾，我不需要把它們放進我的身體，但這就是

The nasal bones can break and that can cause massive amounts of swelling.

魔力勺麥片的神奇之處就在於此。

It can cause eye injuries.

這是你曾經在盒子裡擁有的懷舊，沒有任何負罪感。

You can cause bleeding, tremendous bleeding, profuse bleeding from the nose.

Magic Spoon 穀物食品不含糖。

And then that's not even to talk about the injuries to the hand itself, right?

每份還含有 13 至 14 克蛋白質和僅 4 克淨碳水化合物

There's a reason why professional fighters typically use padded gloves.

因為每份只有 140 卡路里。

And that's because even though there are techniques and forms and things to really, you know, limit the damage you could do to yourself.

它們還適合酮類食物，不含麩質、穀物、大豆和低碳水化合物。

It's still physics, you're still just smashing two hard things together.

我的意思是，來吧。

So and that just doesn't make for a good movie.

這就是我們所說的全套服務。

If you see Rambo Deliver this Haymaker perfectly and then break his hand and then he can't fire the machine gun.

我個人最喜歡的口味是楓葉華夫餅。

It ruins the movie.

我是說，誰不喜歡華夫餅的味道呢？

So I understand why we have to suspend our disbelief and just let him punch someone and move on.

事實上，如果你不這樣做，我想我就無法信任你，我想我們也不會有好結果。

But it drives me nuts how casual people can be with punching and receiving the punch.

朋友，因為它絕對美味。

Oftentimes in movies and TV shows someone gets punched, gets punched and then you see them a few hours later in the movie in the, in their timeline.

此外，盒子背面還有一個迷宮。

And there's just a little bit of bruising.

如果這還不能讓你高興，我不知道還有什麼能讓你高興。

It's like you just got punched by Sylvester Stallone or Rambo.

如果您有興趣，請點擊下面的鏈接，今天就去買一個各種包裝的產品試試吧。

Your face would be swollen.

請務必在結賬時使用促銷代碼 "解剖"，任何訂單均可獲得 5 美元的優惠，或者您也可以直接

You would, you, you're hurting really bad right now, drives me up the wall.

請訪問 magicspoon.com/anatomy，Magic Spoon 對自己的產品充滿信心。

But another one are going to be joint injuries say like to the shoulder area.

我們提供 100% 的滿意度保證。

Now, this is what we call the pectoral girdle and that's just going to be the clavicle or your collar bone as most people would call it.

是以，如果您因任何原因不喜歡，他們會無條件退款。

Then we also have this longer bone here called the humerus and then behind it, what most people would call the shoulder blade.

請點擊下面的鏈接，使用代碼 "Anatomy "獲得 5 美元優惠，或直接訪問 magicspoon.com/anatomy

But this is really the scapula bone.

即可節省 5 美元。

You have to understand that these are barely attached to your body.

好了，我們繼續吧。

The only bone on bone contact is going to be here where the clavicle is meeting with the sternum.

接下來是骨骼和關節損傷，傑弗裡很樂意提供幫助。

And we call this the sternoclavicular joint.

在這種情況下，我也會用手去抓，但這些東西真的讓我很困擾，因為它們幾乎總是被忽視

All the other attachments are gonna be muscular attachments a picture like in movies say someone's falling and our hero reaches out and grabs them just in time.

在電影和電視節目中。

Their arms extend.

來吧，想想拳頭。

There's a lot of pressure, there's a lot of screaming.

你在動作電影（甚至不僅僅是動作電影）中看到的最普遍的東西之一

The amount of pressure and pulling and just pulling forces on both of their shoulder joints is extraordinary.

和電視節目中，到處都能看到這樣的場景。

Muscles are gonna be tearing cartilage like the lam that goes around the shoulder joint itself is going to be tearing, right.

人們打了別人一拳，然後就一走了之，這絕對是瘋了。

Unless you have some kind of connective tissue disorder, your joints aren't meant to just dislocate and then pop back into place and everything is fine.

比如，讓我們想象一下，一記鍘刀正中臉部。

Dislocations come with consequences and you know, all this put uh pulling or even pushing, maybe they land strange on their, you know, on their arms like this, that's gonna cause pressure in the elbows, that's gonna cause pressure in the sternal clavicular joint.

上頜骨、顴骨和下頜骨都可能發生多處骨折，對嗎？

All of these come with consequences and potential fractures.

鼻骨斷裂會導致大量腫脹。

It's out of control.

它可能會對眼睛造成傷害。

Just think about how many times you've seen in action movies people jump, even if it's 10 15 20 ft land.

你會導致出血，大量出血，鼻腔大量出血，然後，這就是

Sure, they do a role.

更不用說對手本身的傷害了，對嗎？

But even if they're avoiding an explosion like we already discussed, that's one problem.

職業拳擊手通常使用帶襯墊的手套是有原因的，這是因為

Now, their joints are all being smashed into one another.

儘管有一些技術和形式，以及一些可以真正限制傷害的東西

It creates chaos.

你能對自己做的，仍然是物理學--你仍然只是在砸兩個堅硬的東西

The fact is your body breaks pretty easily because that's a better alternative than having organs rupture or things of those lines.

這並不是一部好電影。

So what will happen is bones will break to help, to dissipate force.

如果你看到蘭博完美地擊出這一拳，然後他的手骨折了，然後他不能

But again, none of this makes for a good action sequence.

開機關槍，那會毀了整部電影。

If our hero jumps epically and breaks six bones and is now laying there in immense pain.

所以，我理解為什麼我們必須暫緩我們的不信任感，讓他打人，然後

The third and final type of injury that just bugs me are going to be penetrating injuries or penetrating traumas such as say like a gunshot or a stabbing or something along those lines.

但是，人們在出拳和受拳時的隨意性讓我很抓狂。

Now, for the head, a lot of those action sequences are pretty accurate in terms of it's just if it happens, it happens and things are pretty much over from there.

在電影和電視節目中，經常會有人捱揍--捱揍之後，你會看到

But other places not so much.

幾個小時後，他們在電影中的時間線中，只是有一點

I mean, again, if we focus here on the abdomen, if you get shot in the belly, you may live a decent amount of time that can happen for sure.

有點瘀傷...

But I don't think they really accurately represent just how problematic this is in terms of.

就好像 "你剛被史泰龍或蘭博打了一拳--你的臉會腫起來。

Now you have digestive material going into the abdominal cavity or if it ruptures the colon, like here in the in colon, you could have feces entering into the abdominal cavity and you were gonna go septic.

你會--你--你現在傷得很重"，這讓我心如刀絞，但一

Like we mentioned, the spleen here is a blood reservoir.

比如肩關節部位。

So if this gets shot, that's a big problem, you're going to be bleeding out into your abdominal cavity, right, pretty much anywhere that that gets shot here is gonna have a severe issue.

現在，這就是我們所說的胸大肌，也就是鎖骨或肱骨。

I mean, if it goes back and hits the vertebral column or your spinal column, the bullet can then ricochet and go into several different places.

大多數人稱之為鎖骨，這裡還有一根更長的骨頭

So, but I think movies do a reasonable job of that.

肱骨，然後在肱骨後面是肩胛骨，大多數人稱之為肩胛骨。

But still a lot of times I'll see, you know, the hero get shot and it, maybe it goes right through like the side, maybe like right around here and they just kind of again, treat it as a flesh wound and walk it off.

這其實是肩胛骨。

Not so much because you're gonna have several blood vessels.

你必須明白，這些東西幾乎與你的身體無緣。

The muscles have been shot and are now injured and they are gonna start to contract.

唯一的骨與骨之間的接觸將是鎖骨與

And that's something you've got to understand.

我們稱之為胸鎖關節。

Even say if you get shot, let me grab this over here in an arm.

所有其他附件都將是肌肉附件。

So I'm about to show a hand, there's gonna be some fingers on here.

想象一下電影裡的場景，比如有人摔倒了，我們的主角伸手抓住了他，就在這時

So if this is something you don't want to see, please look away right now.

及時

But I have a right upper limb here.

他們的手臂伸展開來。

Let's say you get shot or stabbed or injured just in the limb.

壓力很大

And this is where you typically see in a lot of action sequences.

尖叫聲此起彼伏

It described as a flesh wound, right?

兩個肩關節所承受的壓力、拉力和僅僅是拉力的大小

It goes through the arm, they put a bandage around it and they call it a day.

是非凡的。

Well, you have to understand that.

肌肉會撕裂

First off.

肩關節周圍的軟骨，如肩關節本身的盂脣，也會撕裂、

When you shoot muscle tissue, the muscle is now injured in a way that it doesn't want to continue contracting.

對不對？

So any more additional movement is going to be problematic, the body is naturally going to lock it down to prevent you from moving further because that further movement can create more problems and more injuries.

除非你患有某種結締組織疾病，否則你的關節不可能只是

The next thing to understand is that running throughout your entire body are your blood vessels, your circulatory system.

脫臼，然後彈回原位，一切正常。

Now, if we go to this medial view, hopefully you'll be able to see this.

脫臼是有後果的，所有這些拉扯甚至推搡都會造成脫臼。

This muscle here is called biceps bra.

也許他們的手臂會像這樣奇怪地著陸。

Well, underneath it, there are a series of blood vessels called the brachial artery and the brachial vein and several nerves that are going to be going in this area.