For this special Halloween episode, Cara is joined by Joscel James, RN, to explore some of Hollywood’s most iconic horror movie moments, from the suspenseful shower scene in Psycho to the gory chaos of The Texas Chainsaw Massacre. As the clips play, they trade jump scares for clinical insight, breaking down the gruesome injuries and explaining how real nurses would actually treat those wounds. Blending horror, humor, and healthcare expertise, this episode proves that even the most chilling scenes can’t scare seasoned nurses.
Key Takeaways
- 00:07:41 – Cara and Joscel react to the infamous hook scene from The Texas Chainsaw Massacre, sharing how nurses might respond to such a shocking injury in real life.
- 00:13:41 – The iconic Psycho shower scene gets a clinical twist as our hosts break down its most chilling moments through a nurse’s perspective.
- 00:22:12 – In American Psycho, the axe murder scene sparks a discussion on the real-world realities behind Hollywood’s over-the-top violence.
- 00:29:55 – A chaotic car crash from Final Destination puts Cara and Joscel in triage mode as they imagine how nurses would handle the aftermath.
- 00:36:56 – The Monty Python and the Holy Grail knight fight turns into a lighthearted look at the balance between humor and healthcare realism.
- 00:42:35 – The eerie “sloth” scene from Se7en closes the episode with a haunting example of how far horror can stretch the limits of human endurance.
Episode Transcript
Cara Lunsford, RN (00:08.184)
So here's how it's gonna shake out, Joscel. We're going to take a look at some of these clips, some of these famous horror movies, some are kind of psychological thriller-ish. Many are, if anyone's kind of a fan favorite,
of stuff like this, they probably will have seen things like Psycho and then we've got Texas Chainsaw Massacre. And so we've got some like famous clips from these films. And we've brought our amazing Don Lunsford, our producer, onto the episode, namely because
@josceljames (00:50.953)
Okay.
Okay.
Cara Lunsford, RN (01:08.338)
She is, she's been in this industry for a really long time, like what, 30 years?
Dawn Lunsford (01:14.569)
Probably getting close to 40 years now. I don't know 30 35 years. I'd say
Cara Lunsford, RN (01:18.532)
wow, 35 years doing Foley, which for those of you who don't know is sound. It's not sound effects, but it is live to picture. You can explain what Foley is, Dawn Lunsford.
Dawn Lunsford (01:35.389)
Yeah, so Foley works in the... Foley is part of the sound team and we're the ones that perform two picture and we're matching what we're seeing. If someone's picking up a wine glass, we pick up the wine glass. If they tap it, we tap it. We're watching on a big screen. Then it goes to a Foley editor who tightens it up and puts it all in sync. We work in tandem with sound effects editors who are in another room doing things like car engines and weather and blizzards and...
stuff like that and then the dialogue editors are working on the dialogue doing screaming and talking and shouting and crowd sounds and all that and And then music department that it all kind of goes together and that's what you hear when you go see a movie So we get that we get the fun job. Yeah, we get the fun job. We get to work in a big junkyard It's totally dirty and we get to sit in the mud and be kids and you know, that's the fun
@josceljames (02:15.21)
You're the ones making the sound. That's cool.
@josceljames (02:25.82)
So you make things that sound like things but aren't actually the things, right? Yeah, that's cool.
Dawn Lunsford (02:30.889)
Sometimes they're the things, but often they're not the things. Yeah, it's a really fun job.
Cara Lunsford, RN (02:35.054)
But when we do this, when we look at all this, it's gonna be really fun for our audience because you're gonna listen to this on the podcast. We're gonna hopefully have it available in video on Spotify or Apple Podcasts. But if for some reason we cannot, we will have it as on YouTube for sure. So for those of you who love the visual aspect and want to see the gore that we are talking about and that we are in shock.
about. So Joscel and I, we have been on the podcast before, he has been a guest before on the podcast, and we brought him back because he's amazing. Hi Joscel!
@josceljames (03:14.272)
Hello.
Hi, yes, I'm happy to be back. Thanks for having me here, Kara, Don. Nice to be with both of you today and I'm excited to watch these clips. We're watching clips, right? I'm scared, I'm scared. I'm not a horror fan. I'm so scared.
Dawn Lunsford (03:23.635)
Nice to see you.
Cara Lunsford, RN (03:29.154)
We are gonna watch clips. We're gonna watch them. You should.
Dawn Lunsford (03:29.213)
Yes.
Dawn Lunsford (03:34.493)
Neither am I. We put on a haunted house every Halloween and we love scaring people, but we do not like being scared and neither of us watch horror films.
Cara Lunsford, RN (03:35.917)
Me either.
@josceljames (03:44.902)
okay, all three of us don't watch horror films. Okay, this will be interesting. Okay, I'm ready. I'm ready.
Dawn Lunsford (03:46.939)
Yeah, big baby, big baby. Okay. I need my, where's my blankie?
Cara Lunsford, RN (03:47.629)
Nope.
Cara Lunsford, RN (03:52.6)
That's why it's gonna be even better.
@josceljames (03:55.742)
I'm just doing my deep breathing.
Dawn Lunsford (03:56.329)
I need a blanket.
Cara Lunsford, RN (03:58.575)
Okay, so everyone knows who Dawn Lunsford is. Everyone knows who the amazing JoSel James is. JoSel, for those of our audience who have not listened to your previous episode and maybe are not following you on social and don't know how funny you are, just introduce yourself a little bit. Tell us like who you are before we jump in and we start looking at these really creepy clips.
@josceljames (04:26.72)
Sure. Hello, good morning, or at least morning for me, nurse.com. It is 9.30 here in the morning on the West Coast. My name is Josel James. I'm a comedian, nurse, speaker, content creator. Been creating content for almost six to seven years, but I've been a nurse for a little over 10 years. So happy to be here, happy to get scared, and let's see where this takes us.
Cara Lunsford, RN (04:48.974)
That's awesome. I love it. What was your... Remind me, ER, right? You worked in emergency room. Okay. That's perfect because I am going to ask you, because I did not do ER. I did PEDs oncology. I've done hospice. I've done home health. I've done plenty of wound care. mean, definitely I've done some serious wound care, but I will say that a lot of it has been like decubitus ulcers and things like that, especially in hospice.
@josceljames (04:54.654)
Yes, yes, I worked in the ER.
@josceljames (05:02.864)
yes.
Cara Lunsford, RN (05:16.974)
surgical wounds, done plenty of those. However, the stuff we're about to see and where we're gonna weigh in, Josel, is how would we treat some of these terrible, terrible wounds that we're about to look at?
@josceljames (05:33.029)
wow, okay. So we're looking at these horror movies through a nursing lens. Realistic, yeah. Okay.
Cara Lunsford, RN (05:35.694)
Well, you and I are looking at it through a nursing lens. Dawn is going to look at it through a cinematic sound lens, and she's going to talk about how maybe some of these were made in terms of sound, but we're going to look at it through our clinical lens.
Dawn Lunsford (05:40.457)
you
@josceljames (05:45.642)
Okay.
@josceljames (05:53.362)
Okay, clinical lens and sound lens. Let's do this.
Cara Lunsford, RN (05:55.606)
Okay, audience. Yep. Yep.
Dawn Lunsford (05:57.374)
me share my screen and we'll play some stuff. should I pause at some moments so we can talk about some of these wound care moments? Okay.
Cara Lunsford, RN (06:03.599)
yeah, yeah, we're well, no, mean, I think like you just have to like listen to it all the way through and get to the meat of it and watch it and be a little bit cringy about it. And then, and then we'll talk about it. We'll, we'll bat it around a little bit.
Dawn Lunsford (06:11.293)
Okay.
@josceljames (06:14.014)
and watch it.
@josceljames (06:19.006)
I'm so scared.
Dawn Lunsford (06:26.065)
Okay, I'm gonna share my screen and this is tech. The first one is Texas Chainsaw Massacre, which I never saw purposefully. I don't like these things, so let's all cringe together.
@josceljames (06:29.854)
What's the first one?
@josceljames (06:36.33)
Same.
Cara Lunsford, RN (06:38.008)
Same. Same. Never saw this.
@josceljames (06:39.188)
But I know some people will hear this title and they're like, my God, I love this movie. Okay.
Dawn Lunsford (06:44.145)
Yeah, I would rethink my friendship, I'm just saying.
Cara Lunsford, RN (06:44.375)
Yes.
Dawn Lunsford (06:49.161)
Here we go.
@josceljames (06:52.306)
Okay, so this is the scene where she's running.
Cara Lunsford, RN (06:57.912)
She's definitely running. Yeah, she's running. She's running. She's also like dressed. She's not dressed to run, okay? She's barefoot.
Dawn Lunsford (07:07.721)
Well, she's barefoot. She's gonna get a nail in her foot.
@josceljames (07:11.755)
my God. So a guy in a mask.
Cara Lunsford, RN (07:11.918)
he's carrying, he's like dragging her into,
Dawn Lunsford (07:13.085)
I did.
@josceljames (07:18.314)
There's a lot of screaming, so they're in this house. now there's two hooks on the screen.
Dawn Lunsford (07:20.271)
there's a hook.
boy. Yeah. And she just got put on the butcher hook.
Cara Lunsford, RN (07:25.261)
these are like butcher hooks, like where you hang like, no.
@josceljames (07:31.353)
my god, this is people like this. Well, there's definitely an entrance wound. So her. So you hear this screaming.
Dawn Lunsford (07:32.433)
Okay, that's a wound. That's a wound. That's gonna hurt.
Cara Lunsford, RN (07:32.718)
Ugh. Ugh.
Oh, there's an entrance room. Oh, I don't think it's gonna matter. I don't think it's gonna matter after what happens to her. Like, so I think the reason she's on the hook.
Dawn Lunsford (07:40.361)
Dawn Lunsford (07:46.547)
You don't think that.
@josceljames (07:47.85)
There's a chainsaw.
Cara Lunsford, RN (07:51.95)
But he's really just making her watch. He's making her watch as he dismembers someone else.
Dawn Lunsford (07:56.233)
as he chops somebody else up.
@josceljames (08:01.891)
this is-
This is, okay, so now.
Dawn Lunsford (08:05.513)
this is dark.
Cara Lunsford, RN (08:07.671)
Okay.
Cara Lunsford, RN (08:13.366)
know that you would act wouldn't you pass out by now just out like I feel like you would pass out
@josceljames (08:18.42)
Well, it depends. So definitely she kept on screaming. So the first thing that comes to my mind is her airway is intact. That's what we know. Her air, right? ABCs. Yeah, yeah. Well, if you... hang around. that's funny. I don't think she'll wait. Definitely if she comes in with...
Cara Lunsford, RN (08:28.782)
So she could wait in the ER for a while. She could like wait, she could wait in the ER. they just hang around.
Dawn Lunsford (08:29.321)
There you go, she can breathe
Dawn Lunsford (08:40.187)
Yeah
@josceljames (08:47.966)
the penetrating trauma to the chest or to the back like that, she'll definitely go to a room right away. But if you just close your eyes and you just hear screaming, you'll think they're okay because again, airway is intact. But that is one way ticket to the back.
Cara Lunsford, RN (09:01.742)
I feel like that would have punctured a lung. I feel like it would have punctured a lung. Don't you feel like if you got hung on a hook like that, it would have punctured a lung? I don't know.
Dawn Lunsford (09:07.347)
Well, he.
@josceljames (09:10.91)
Yes, puncture a lung amongst other things. Wow.
Dawn Lunsford (09:15.791)
She doesn't have a lot of meat on her that girl. So there's not a lot of meat to hang on to it seems and and Yes
@josceljames (09:21.887)
Yes.
Cara Lunsford, RN (09:23.328)
Okay, one thing I noticed, Dawn, is that I didn't actually hear, and maybe she was screaming a lot, so I couldn't really hear, but I feel like it kind of missed out on the sound of him putting her on that hook. Like that could have been a little grosser.
Dawn Lunsford (09:29.285)
Nah. Yeah.
Dawn Lunsford (09:37.522)
Yeah, they didn't play anything. I think they just let the screams do the talking. And I think it could have been a lot gushier. It could have had some metal entering, some sinewy bones crushing as it goes in. That would have been cool. But I have a feeling this was made sort of low budget. So they probably were like, look, this is gross enough. We put all our money into the scenery and the hook. Yeah.
Cara Lunsford, RN (10:03.865)
and didn't.
Yeah. Okay. What would you have used? Okay. Let's just like really quickly before we move to the next one. What would you have used to make that sound if, if they had queued it up for you to like, yeah.
Dawn Lunsford (10:07.399)
in the Jane saw.
Dawn Lunsford (10:14.579)
Thank
Mmm.
@josceljames (10:19.776)
That's a good question.
Dawn Lunsford (10:20.259)
A good go-to sound effect that we use in Foley a lot for a gushy, fleshy sound is a leather car chamois. So we'll go to the car parts store and buy the traditional leather, not the synthetic ones, but the leather car chamois, and we wet them. And if anybody's ever used one, you can squeeze them and they sound very fleshy. And in order to, so we would squeeze that.
and do sort of an impact as that hook goes in. So that would be the the gushy layer. And then we would do a layer that was more of gush connected to a body, which we often will use something like a kneeling pad that you would use to garden on. Like it's got the little vinyl and it's a little rectangle and you kneel on it when you garden. And that makes a really good body sound. So we would kind of impact against that. So it really feels like it's going into a full body, not just a little piece of flesh. And then we would do some sort of metal.
insert sound using a thick metal industrial sounding shing as it goes into the body with a nice end stop. Layers. Yeah, lots of layers.
Cara Lunsford, RN (11:27.992)
So it's like layered. So yeah, so there's a lot of layers of sound. So it's not just like one sound. Sometimes you have to make several sounds, they layer together. That's what the mixer does.
@josceljames (11:28.596)
Sounds juicy.
Dawn Lunsford (11:33.031)
Yes. Right. Well, that's what the mixer will put them on different tracks and layer them together. And then we perform them on different tracks. And the more you have to look at what you're fighting against, you're fighting against the screaming, you're fighting against the music. There's a lot going on. So you really have to be over the top with multiple tracks to get all those sounds to poke through.
Cara Lunsford, RN (12:00.399)
Alright, okay, are we ready for the next one?
Dawn Lunsford (12:02.922)
Next one.
@josceljames (12:04.032)
multiple sounds, multiple layers. Yeah, my heart rate's still up from that last clip. Let's do it. Was that the hardest one? No, no, no. Okay, bring it on, bring it on. We're ready.
Dawn Lunsford (12:06.791)
I don't know, I'm gonna... I know.
Cara Lunsford, RN (12:10.586)
I feel like that was the hardest one. I don't know. Was that the hardest one? I don't know. I don't know. Maybe not.
Dawn Lunsford (12:15.161)
boy, wait till you see what's there might be more. Okay, so let's take it back into history a little bit with one of the first most terrifying horror scenes created.
@josceljames (12:32.546)
my god.
Cara Lunsford, RN (12:34.077)
it's a classic. It's a classic.
Dawn Lunsford (12:35.289)
classic and I have some inside scoop on this after we watch it I'll tell you about so this this is the scene the shower scene from Psycho with Janet Lee yes yes very good honey and
@josceljames (12:39.136)
So what did you just pull up? Tell us what you just pulled up.
@josceljames (12:49.595)
my god.
Cara Lunsford, RN (12:52.11)
I'm not really good at sound effects. I should have let you do the sound effect, but...
Dawn Lunsford (12:55.881)
I don't know. But this was from, I mean, I asked my parents because I was very little when this came out, if I was even born, I'm not sure I was even born yet, but they said this was definitely one of the most terrifying horror scenes. was just groundbreaking in terms of horror because of the way it was shot and what the director left, Hitchcock, left to the imagination.
Let's take a look and listen.
Cara Lunsford, RN (13:26.83)
Okay.
@josceljames (13:32.608)
That was a good toilet flush.
Dawn Lunsford (13:34.515)
Yeah.
Cara Lunsford, RN (13:34.808)
It was a good toilet flush.
@josceljames (13:37.568)
It was very obviously a toilet flush.
Cara Lunsford, RN (13:40.662)
I didn't even see her on the toilet. Like, why did the toilet get flushed in the first place? Anyway, I'm not gonna get into that.
Dawn Lunsford (13:44.105)
I'm not really sure.
@josceljames (13:49.844)
These are good sound effects.
Dawn Lunsford (13:53.117)
Yeah, I think this was actually from the production. I don't think they added this. Sounds very real.
Cara Lunsford, RN (14:00.408)
They just picked it up from the mic in the room.
@josceljames (14:01.802)
So a lady is getting showered right now or showering.
Cara Lunsford, RN (14:08.43)
It's like an herbal essence commercial really. It kind of looks like she's really enjoying her shower. She looks happy about it.
Dawn Lunsford (14:10.301)
Mm-hmm.
Dawn Lunsford (14:15.753)
She's getting clean, but she has full makeup on, which is amazing.
@josceljames (14:15.808)
Yeah, it's a good shower. Yeah, she is so clean right now.
Cara Lunsford, RN (14:23.278)
I mean, she's not gonna be clean in a second.
Dawn Lunsford (14:25.831)
And now she's getting stabbed.
Cara Lunsford, RN (14:29.582)
No, but she's fighting. She's fighting him. I don't think the stab has happened. It hasn't happened yet. Okay, now it's happening.
Dawn Lunsford (14:30.877)
And she's fighting back, she's fighting back. She can't see.
@josceljames (14:34.218)
That's a giant knife.
Cara Lunsford, RN (14:40.046)
No, they don't, but you see the blood in the bottom. You see the blood in the bottom of the tub. So, and then, yeah, she just got stabbed and all you see is really the blood at the bottom of the tub. she still looks amazing, I have to say, you know, for someone who just got stabbed. Yeah.
Dawn Lunsford (14:40.829)
And they don't really show anything. That's the best part.
Yes.
@josceljames (14:48.426)
So she just got stabbed.
Dawn Lunsford (14:48.785)
Yes.
Dawn Lunsford (14:55.515)
Now you just see her face and you just know she's I know, her makeup is perfectly intact, I know. She's so beautiful.
Cara Lunsford, RN (15:06.082)
Well, she's still breathing, but it's about to stop.
Dawn Lunsford (15:10.557)
She's reaching for the shower curtain. She's gonna grab it.
Cara Lunsford, RN (15:13.07)
And I think the shower curtain is it going to come down? I think I remember it. Yeah. Yep. yep. She pulls it off.
Dawn Lunsford (15:16.133)
It sure is. It sure does.
Dawn Lunsford (15:23.441)
And then you just see the water going down, the blood going down the drain.
Cara Lunsford, RN (15:23.532)
Well, that's it.
@josceljames (15:27.072)
and the blood is going down the drain.
Cara Lunsford, RN (15:29.432)
Yep.
Dawn Lunsford (15:30.729)
And they hang on this shot for a long time just to bring it home. You know what I mean?
Cara Lunsford, RN (15:34.808)
Which is also kind of crazy because it's in black and white, you really only see what looks like kind of gray. And then obviously like her, they get like really close in on her eyeball.
Dawn Lunsford (15:38.12)
Yes.
@josceljames (15:43.272)
Yeah, so.
@josceljames (15:49.364)
Yeah.
Dawn Lunsford (15:49.79)
Yeah, this is amazing how they, I always wondered how long, how many times they had to do this shot where she's laying there looking at the camera. She can't move at all. She can't blink. She can't breathe. And her mouth is open and it's just terrifying that she's just dead.
@josceljames (15:58.442)
Now blinking.
Cara Lunsford, RN (15:58.572)
And blink, she can't Nope.
Cara Lunsford, RN (16:06.689)
Yeah, she did a really great job.
@josceljames (16:06.954)
Fun fact, I took the Universal Studios tour. They said that the blood is actually just Hershey's chocolate.
Dawn Lunsford (16:07.625)
and they pan out.
Dawn Lunsford (16:16.081)
Yeah, yeah, that's what I heard too.
Cara Lunsford, RN (16:19.396)
really? I mean, I guess that's true because it was in black and white. So like they needed something probably very dark and they didn't need blood and viscous.
Dawn Lunsford (16:20.371)
That's what I heard.
@josceljames (16:20.576)
Yeah, cause it's black and white.
@josceljames (16:27.22)
dark and viscous. Yes.
Dawn Lunsford (16:27.772)
Right. Right.
Yeah, an interesting little tidbit about the scene was Bernard Herrmann was the composer and he really wanted to put some music in that scene and Alfred Hitchcock was absolutely adamant. did. He wanted it to feel like you're watching someone get stabbed and he didn't want any music. He didn't want to be cinematic. He wanted you to really be there. And Bernard Herrmann kept going back to him and going, please, let me try something. I have something. Finally, Alfred Hitchcock said, fine, just play me what you have. And he played him the
And he went, all right, it's got to go in, you know, you were right, Bernard. It's better. So that's a little tidbit. It almost didn't go in. It's iconic.
Cara Lunsford, RN (17:09.516)
All right.
@josceljames (17:10.216)
It's iconic. Iconic. Yeah. Iconic.
Cara Lunsford, RN (17:12.022)
It is anicronic. Okay, Joe So, someone comes in with multiple stab wounds.
@josceljames (17:18.42)
multiple stab wounds.
Cara Lunsford, RN (17:20.546)
What are you doing? What are you, how are you, I mean, what are you doing?
@josceljames (17:24.276)
Well, it depends. It depends too, right? It depends is the knife still in. For this particular instance, it looks like she was stabbed multiple times. If she even makes it to the ER, if you know, we would check for a pulse first and then obviously stop the bleeding, but it's an instant, especially if it's above the chest, penetrating trauma above the chest, which it looks like it was instant trip to the back. And when I say to the back, it means to the most critical rooms that you have. And then you would
first and foremost, out, you know, ABC's airway breathing circulation, find out where are the wounds, is there any active bleeding going on?
Cara Lunsford, RN (18:04.313)
Would they end up just like immediately going to surgery, most likely to just to stop the bleeding? Like if these are our wounds where maybe a vital, a vessel has been severed or something like that and just go back. Yeah, just go back to surgery.
@josceljames (18:19.274)
Possibly. Yeah, so this would obviously be a trauma protocol. So you would go through the different trauma protocol. It's been a while since I've been in trauma. But you would first secure the airway. If you're going straight to surgery, you're probably gonna just get instantly intubated right then and there, especially if you have those penetrating traumas. And then go straight up to surgery if needed. Probably.
Cara Lunsford, RN (18:45.996)
Yeah. Man. Ugh.
@josceljames (18:48.64)
If you're still alive after all those penetrating traumas all over your trunk and abdomen, you're probably not going to be in the ER for more than like 10 minutes. You're going to go straight to the OR like you said. They might intubate there. Those are quick. Those are quick. It was a gigantic knife. Yeah. Yeah. Yeah.
Cara Lunsford, RN (19:02.54)
Yeah, that looked like a big knife.
Dawn Lunsford (19:06.494)
was a big knife.
Cara Lunsford, RN (19:09.132)
It was a gigantic knife. That was not like a little steak knife. That was like a butcher knife. Ugh.
Dawn Lunsford (19:12.909)
Hahaha!
@josceljames (19:15.548)
Yeah, was huge. Almost a sword. It was huge. Like a machete. Yeah.
Dawn Lunsford (19:18.788)
Cara Lunsford, RN (19:22.732)
I got my shit. Jo's like.
@josceljames (19:26.432)
I've seen stabs in the ER, but they're very little, know, very little. I haven't seen many big ones, thankfully. Woo!
Dawn Lunsford (19:26.639)
You would cut a chicken with that thing. You would.
Dawn Lunsford (19:34.249)
Yeah.
Dawn Lunsford (19:38.791)
It's hard to carry around a knife that size. That was probably a foot and a half that played. It's hard to hide that.
@josceljames (19:40.83)
Yeah.
Yeah. Yeah! was gigantic!
Cara Lunsford, RN (19:44.078)
He did it!
Cara Lunsford, RN (19:48.271)
But it definitely would not have had the same impact, especially from behind the shower curtain, if you had some tiny little steak knife. You had to have something substantial to be the silhouette behind that shower curtain.
@josceljames (20:01.706)
Yeah, it's true. That's true.
Yeah. Yeah.
Yeah. And if anyone witnessed it, would, we would in the ER would guess like how we would ask questions about the quote unquote weapon. So if anyone witnessed it or if she was still alive and able to talk, she's like, Hey, how big was the knife? This big, this big. Tell us when, tell us when. Really? Still? It'll be one of those moments. Tell us when.
Dawn Lunsford (20:12.246)
yeah, wouldn't it? Yeah.
Cara Lunsford, RN (20:24.972)
Yeah.
Dawn Lunsford (20:26.279)
Hey, how big was the knife? Doesn't hurt.
Cara Lunsford, RN (20:28.814)
Yeah
Dawn Lunsford (20:33.851)
you
Cara Lunsford, RN (20:34.51)
I love that you're just like, you're showing that with your fingers going like, was it an inch? Was it two inches? Was it three inches? Was it five inches? Oh my gosh. Okay, I'm not gonna go there. Anyway, so let's...
Dawn Lunsford (20:39.337)
Ha ha ha.
@josceljames (20:41.504)
Ha ha ha!
Dawn Lunsford (20:47.293)
And she's probably thinking, just sew me up already. Stop asking me questions.
@josceljames (20:52.564)
That's good.
Cara Lunsford, RN (20:53.068)
All right, so we have a few clips. This is gonna be a lot of fun. Okay, what's the next one?
Dawn Lunsford (20:56.649)
We do. Okay. Oh, this is a disturbing one. This is a scene from American Psycho. Let me share my screen.
Cara Lunsford, RN (21:01.55)
They're all disturbing.
yeah, this one?
@josceljames (21:07.04)
So we just saw psycho, the next one is American psycho.
Dawn Lunsford (21:10.503)
Yes, with Christian Bale.
Cara Lunsford, RN (21:11.306)
And obviously we're so much worse. Christian Bale, yeah. Yes. You know, I haven't seen this either. I can't believe how many of these like really iconic films I haven't seen. Well, I have seen Psycho, but I have not seen the other, these ones. Okay.
@josceljames (21:13.386)
Christian Bale before he was Batman.
Dawn Lunsford (21:16.328)
That's right.
Dawn Lunsford (21:29.319)
All right, let's play it.
Cara Lunsford, RN (21:30.862)
All right, so this guy is chilling, okay? There's a guy chilling on a covered chair. So I think it's really interesting. They covered the chair. He's sitting on paper as though he's like a puppy that's gonna like go to the bathroom like somewhere. Like they have like, they have newspaper on the ground and covered chair, covered side, end table, the couch is covered.
Dawn Lunsford (21:47.816)
Mm-hmm.
Cara Lunsford, RN (21:58.018)
So clearly someone is preparing to do something horrible and they don't want to get anything messed up.
Dawn Lunsford (22:05.917)
Mm.
@josceljames (22:05.94)
Wait, wait, hold on. You think clearly someone's gonna do something horrible? It just, to me, at first glance, it just looks like, this place is under construction. Yes, that's my first, that's my first, yes, that's my first thought.
Cara Lunsford, RN (22:10.979)
Yes!
Dawn Lunsford (22:15.101)
He's gonna paint. Yeah, there's gonna be paint.
Cara Lunsford, RN (22:17.549)
You think, is that your first thought? But what's with the newspaper on the ground? Like the newspaper is just under him.
Dawn Lunsford (22:27.357)
Well, well as you'll see, he asks that question and he's been drinking quite a bit. So that has something to do with him not. Yes. Yeah.
@josceljames (22:27.668)
It is.
Painting, right?
Cara Lunsford, RN (22:35.811)
There is a bottle of like bourbon next to him. So he's like on his, is he on a phone? Is that what he is? He's on his phone. He's got a bottle. Isn't that a phone? no, that's a glass. this is pre-phone, sorry.
Dawn Lunsford (22:41.511)
He's on his phone. Yeah, he's.
@josceljames (22:43.9)
No, wait, wait, wait. I think, no, I don't think, this is pre-phone. This is pre-phone.
Dawn Lunsford (22:49.81)
maybe he's just drinking at his you're right. Maybe he's just looking at his glass. yes, you're right.
@josceljames (22:51.808)
That's wild. That's what we think of now.
Cara Lunsford, RN (22:54.337)
Okay. and is that like a, is that a cigar next to him? I think there's a cigar next to him. He's got like a bottle of bourbon. He's got a glass of bourbon and he's slouched in that chair. So he's clearly been like into that bottle. All right. So we've painted the picture. Roll the clip. Roll that beautiful bean footage.
Dawn Lunsford (23:08.359)
Yeah. Here we go.
@josceljames (23:08.96)
Alright, let's roll the clip.
American Psycho.
@josceljames (23:31.168)
Christian Bale being Christian Bale.
Dawn Lunsford (23:33.385)
Mm-hmm.
@josceljames (23:41.502)
He's gowning up.
Cara Lunsford, RN (23:41.807)
Who doesn't put a raincoat? He's got the raincoat. Raincoat. This is a bad sign.
Dawn Lunsford (23:41.897)
putting the raincoat on.
taking a prescription pill. boy.
Cara Lunsford, RN (23:51.893)
and a large axe.
Dawn Lunsford (23:55.133)
very large axe, but he's standing behind the guy. The guy can't see him.
Cara Lunsford, RN (24:06.543)
See, it does look like there's a dog.
@josceljames (24:18.88)
It's like Jim Cariasque.
Dawn Lunsford (24:21.341)
Very Jim Carious.
Cara Lunsford, RN (24:23.552)
I'm Jim Cariesque.
Cara Lunsford, RN (24:36.203)
my god. And he wanted to look at him. He was...
@josceljames (24:38.126)
my God. And he swung the axe.
Dawn Lunsford (24:38.923)
I just took the axe to him.
Cara Lunsford, RN (24:44.394)
Cara Lunsford, RN (24:47.888)
my gosh. That's going to leave a stain.
Dawn Lunsford (24:48.425)
boy. I, I really will.
Cara Lunsford, RN (24:58.307)
God, and then he just takes the raincoat off, his face is covered in blood. Well, at least he didn't get that nice suit.
Dawn Lunsford (25:06.141)
He still looks good. Yeah.
Cara Lunsford, RN (25:11.391)
gosh.
Dawn Lunsford (25:12.551)
Now he just calmly sits down in a chair.
Cara Lunsford, RN (25:16.559)
I mean his hair still looks nice
Dawn Lunsford (25:18.697)
Yeah, his hair looks great. Good hair day.
@josceljames (25:20.704)
His hair looks great. That's it. His hair does look good
Dawn Lunsford (25:22.971)
Except that cigar.
Dawn Lunsford (25:28.498)
Just looking at this dead body that he just mutilated and smoking a cigar.
Cara Lunsford, RN (25:32.185)
feel like it's a little something about Mary. You're gonna have something in your hair there, dude. You have a little something in your hair.
Dawn Lunsford (25:34.953)
boy.
@josceljames (25:38.258)
Nice. So.
Dawn Lunsford (25:41.161)
Sorry, That's what I was hoping wasn't going to happen, but here we go. No.
@josceljames (25:45.192)
it's all good.
Cara Lunsford, RN (25:46.529)
apparently, apparently we just switched right over to spirit guides. Well, was probably, it was probably the spirits, the spirits trying to say something to us about.
Dawn Lunsford (25:50.089)
I'll be in my queue. like stop watching horror. is terrible. Shut it off, people. What's wrong with you?
@josceljames (25:50.72)
We can talk about that.
Ha
Cara Lunsford, RN (25:59.887)
My gosh.
@josceljames (26:00.737)
my god, I'm scared, I'm scared. That one wasn't as bad as the previous two because the axe didn't, we didn't see the actual strike.
Cara Lunsford, RN (26:03.917)
Alright.
Cara Lunsford, RN (26:13.207)
No, but the guy did because he actually asked him to turn around, like to watch. wasn't like he, he didn't, yeah, cause he goes, Hey, and the guy turns around to look at him. And then he, so it wasn't even like he got it from behind and he didn't know it was coming. He knew it was coming.
@josceljames (26:14.112)
personally.
@josceljames (26:19.68)
I didn't even think of that.
@josceljames (26:31.146)
So.
@josceljames (26:34.56)
So what are we thinking? Penetrating trauma to the skull?
Dawn Lunsford (26:38.025)
Amongst other things.
Cara Lunsford, RN (26:38.747)
So blunt, blunt force, blunt force trauma. I mean, I think there's like a common, there's a combination there of, of blunt force, but yeah, but there won't be a lot of increased intercranial pressure. So there's that. This is not a traumatic brain injury by any, I mean,
@josceljames (26:45.184)
Penetrating for sure.
@josceljames (26:53.48)
No, no, there's no increase. The pressure is released. The pressure is released. You know, as soon as you get on scene though.
Dawn Lunsford (27:04.745)
I mean, would you even try and stuff that brain back in the skull and see if it works? Like, see what happens? Like, can he do math?
@josceljames (27:08.864)
Ooh, yeah, there's probably brains all over the floor. But I mean, the first thing you would do is if you're on scene, like an EMS, you would go check for the pulse first, right?
Dawn Lunsford (27:12.979)
Probably.
Cara Lunsford, RN (27:13.769)
yeah.
Cara Lunsford, RN (27:21.184)
Yeah
Dawn Lunsford (27:21.831)
What did- Whatcha?
@josceljames (27:24.21)
Right, is there a pulse? That's what you would check.
Cara Lunsford, RN (27:27.171)
mean, sometimes I think it might be obvious sometimes that there's no pulse.
Dawn Lunsford (27:31.589)
Yeah, like if there's yeah, what would yeah, I'm thinking maybe no.
@josceljames (27:34.546)
Yeah, if his head's cut off, would you check for a pulse? You're right. You're right. You're right. You're right.
Cara Lunsford, RN (27:40.623)
Like when, when does that happen? When do you kind of go, I think, I think we're going to call it.
Dawn Lunsford (27:46.921)
think we're good.
@josceljames (27:47.604)
Well, especially in the field, right? Especially in the field. Yeah, I don't know. I don't have that answer, but I guess.
Dawn Lunsford (27:50.322)
Yeah.
Dawn Lunsford (27:55.203)
the
Cara Lunsford, RN (27:57.444)
You're gonna have to call that one. You're gonna be like, time of death? We're not sure. Yeah.
Dawn Lunsford (28:03.943)
Can you imagine being the EMT that picks up the wrist and is like, yeah, I don't have a pulse and just the heads over there and the arms over there and.
@josceljames (28:11.496)
just yeah it's like five different pieces no pulse that'd be pretty funny actually that'd be like a funny comedy comedy scene like you get on scene to this like totally totally multiple bodies in different areas yeah
Dawn Lunsford (28:16.669)
That would be funny. Just pick up the arm.
Cara Lunsford, RN (28:25.037)
I feel like that's like an SNL skit. That's like a total SNL skit, right?
Dawn Lunsford (28:27.251)
Yeah.
@josceljames (28:30.312)
Right? Or how the office when Steve Karel, what's his name? Steve Karel? Yeah, was trying to get the pulse on the mannequin. Something like that. Right? Was that him? We're losing him!
Cara Lunsford, RN (28:36.271)
Steve Carell.
Dawn Lunsford (28:37.051)
yeah.
Cara Lunsford, RN (28:40.917)
This is exactly...
Dawn Lunsford (28:45.811)
Ha ha ha!
Cara Lunsford, RN (28:49.573)
my gosh. that one was not, I think the thing about psychological thrillers is that's a little scary to me is that you know that there's people out there that are really sick like that. know, and I mean, not to say that like Texas Chainsaw Mask, that was a real thing. I mean, that, right? That was real. Wasn't it? Okay, did I just make that up?
Dawn Lunsford (28:49.705)
Wow.
@josceljames (28:51.22)
That would be funny.
@josceljames (29:11.488)
Was that based on a true story? man, I don't know. Based on a real story? Who knows? Who knows in this day and age?
Dawn Lunsford (29:15.283)
I think it might have been. I don't know. But I will, I will. I'll fact check you. I'll fact check while we look at the next clip.
Cara Lunsford, RN (29:20.547)
Producer, fact, fact check that, fact check that producer. Why did I think that that was like a, okay, let's, okay, you fact check while we watch the next clip, okay?
@josceljames (29:27.102)
What is real anyways? I always think of that.
Dawn Lunsford (29:31.995)
Okay, so this is gonna be a real bad day driving. It just you'll see. I can't even I can't even set this up.
Cara Lunsford, RN (29:42.906)
is this Final Destination? Nation 2?
@josceljames (29:45.162)
final destination. remember this. remember watching this. was 12.
Dawn Lunsford (29:50.985)
Oh, 12. No wonder you're like the way you are. Geez. Explains a lot. Watch this.
Cara Lunsford, RN (29:54.573)
hahahahah
@josceljames (29:57.95)
Yeah, my brain's still fully developing.
Dawn Lunsford (30:02.851)
god. Okay, here we go. that starts out bad. He spilled coffee on himself while he's driving and that's never a good sign.
Cara Lunsford, RN (30:12.131)
He's probably gonna sue somebody.
@josceljames (30:12.532)
Final destination to Log Truck.
Cara Lunsford, RN (30:17.564)
no, that's gonna nope. That guy's gone and he's gone. there's just too much happening here. First of all.
Dawn Lunsford (30:19.719)
There's no way we can narrate this for, yeah.
@josceljames (30:21.57)
my god.
Dawn Lunsford (30:25.117)
Too much happening. You guys have got to go to the YouTube. You've to see this.
Cara Lunsford, RN (30:29.665)
Okay, yeah, you have to watch this because...
@josceljames (30:31.828)
That's wild.
Cara Lunsford, RN (30:36.815)
There's, yeah, there was a log that went through somebody's windshield, just pretty much obliterated him. There's a guy who just tumbled in his car. Oh, got hit by a, is that a trash truck?
Cara Lunsford, RN (30:55.311)
that's a head on collision.
Dawn Lunsford (30:56.433)
It's just one car after another piling up in horrible ways.
Cara Lunsford, RN (31:03.981)
She can't stop. my gosh. A water bottle got stuck underneath her, her brake pedal and she couldn't break.
Dawn Lunsford (31:05.609)
and they blew up.
Cara Lunsford, RN (31:19.395)
I feel like this is car versus pedestrian a little, right? Like this is...
Dawn Lunsford (31:23.56)
Hahaha!
Dawn Lunsford (31:30.553)
boy, another explosion.
Cara Lunsford, RN (31:30.765)
Motor vehicle accident.
@josceljames (31:33.758)
These cars are so flammable.
Cara Lunsford, RN (31:36.655)
They are so flammable. Everything is on fire.
Dawn Lunsford (31:36.787)
Yeah.
@josceljames (31:38.954)
They just get bumped?
@josceljames (31:45.193)
someone lives. I'm surprised they're conscious.
Cara Lunsford, RN (31:47.779)
Well.
Dawn Lunsford (31:48.659)
Wait for it.
Cara Lunsford, RN (31:50.339)
Wait, we think she, somebody is crawling out of a burning vehicle. That is going to be, I think.
Dawn Lunsford (31:55.337)
he's stuck in his... that's gonna hurt. He's burning alive.
Cara Lunsford, RN (32:00.73)
That person's gonna need some serious wound care. no, he's gone. That's it.
Dawn Lunsford (32:03.915)
don't worry, his life will be over soon. There you go.
Put him out of his misery.
Cara Lunsford, RN (32:15.727)
You know what I think of when I see this? Immediately, think, crushing injuries. Like just crushing, like crush, crush injuries.
Dawn Lunsford (32:16.019)
You
Dawn Lunsford (32:23.241)
Mm.
@josceljames (32:27.006)
My heart is beating so fast right now.
I feel like I'm breathing really fast too.
Dawn Lunsford (32:34.301)
That scene was a perfect example of horror meets comedy because you just can't believe it keeps going. And then something more terrible happens and then something more terrible happens.
@josceljames (32:43.914)
Yeah.
Cara Lunsford, RN (32:44.079)
Do you know what I'm also thinking about? Kidney failure. You know why? Because when I think of crushing injuries and I think about like what happens in a crushing injury, what happens, Joscel? What happens to the kidneys? There's a lot of protein. There's a lot of, so all that protein, like because the muscles get crushed and then like all this protein.
Dawn Lunsford (32:49.693)
Why?
Dawn Lunsford (33:01.651)
They get crushed.
Cara Lunsford, RN (33:10.465)
ends up in the blood and then the protein clogs up the kidneys and then, you know, kidney failure.
@josceljames (33:16.916)
Yeah. Yes. They're definitely have to worry about kidney failure. One. Because without, without your kidneys, you cannot live. They might need to be on dialysis. They might, they might need to be on dialysis. yeah. I saw a burn guy. There was a burn guy. They'll need fluid resuscitation.
Dawn Lunsford (33:17.107)
So that's what they have to worry about.
Cara Lunsford, RN (33:20.921)
Hahaha
Dawn Lunsford (33:24.305)
You don't want to lose a kidney in that.
Dawn Lunsford (33:29.001)
or without your head.
Cara Lunsford, RN (33:33.487)
That's totally my main, you know, and the burns. mean, like that, that happens in burns too. I mean, and they're clearly people were burning.
@josceljames (33:44.8)
using the Parkland formula. So man, was it 30 milliliters per kilogram per hour? Don't quote me. Do not quote me. 99, it's 99 % total body surface area burned, I'm sure. But he was screaming.
Cara Lunsford, RN (33:44.985)
Yeah.
Cara Lunsford, RN (33:51.491)
Yeah? I think.
Cara Lunsford, RN (33:59.598)
Yeah, but also kidney, you have to worry about the kidneys there too. I mean, there's concern.
@josceljames (34:03.348)
He was, meaning, meaning what do we know if someone's screaming? Is the airways intact? Yes. Until it wasn't. Yeah. Yeah, that truck did hit him. But if we found him before the truck, right? Before the truck, he would probably lived. Burns, you can come back from.
Dawn Lunsford (34:04.05)
It was screaming.
His airway's open.
Cara Lunsford, RN (34:08.185)
They're alive. Airways intact. He's alive. I mean, he was alive until, until he wasn't. Until that treated him. Yes. But I...
Dawn Lunsford (34:26.941)
You think?
Cara Lunsford, RN (34:28.717)
I really think that Davida could sponsor this episode, you know, for dialysis. I'm just thinking, yeah. Yeah.
@josceljames (34:32.774)
Davida. yeah, kidney failure. That was the first thing you think of when you see that scene is really Davida. So Davida, hit us up. We see you. You just opened a Davida down the street for me. So hit us up. and Thanksgiving's coming. Hit us up. Yeah.
Dawn Lunsford (34:37.541)
That's what the problem these people are having.
Cara Lunsford, RN (34:54.127)
my god. They're everywhere. They're like Starbucks. Okay, yeah, I don't know how that how how I got from like crushing injury to like, you know, acute kidney injury.
@josceljames (34:59.742)
They are like Starbucks.
@josceljames (35:04.564)
Yeah. Davida and Starbucks are the same because they will call you by your first name, right? Yeah.
Dawn Lunsford (35:12.553)
Cara Lunsford, RN (35:15.947)
my God, that's hilarious. That is so funny. It is. That's a personal experience. That's a personal experience. Okay. So, Dawn, I, well, there's not a whole lot of, like, that's a lot of sound effects, right? But that's not a lot of Foley.
@josceljames (35:17.349)
It's personable. It's personable. Two personable brands. Yeah.
Dawn Lunsford (35:26.729)
Okay.
Dawn Lunsford (35:34.709)
No, the Foley was probably mostly all those little metal pieces of debris and glass that come close to camera that you want to detail. Screeching tires, we do as well as sound effects. trying to think of pumping on the accelerator or the brake, just things like that. But a lot of sound effects for sure.
@josceljames (35:50.592)
A lot of sound effects in that one.
Cara Lunsford, RN (35:58.65)
Probably that water bottle that got wedged underneath the brake pedal. Yeah. Yeah, that would all be Foley.
Dawn Lunsford (36:03.774)
The sure. The chain breaking. The log.
@josceljames (36:07.828)
What would the explosions be? heard lot of explosions, so what sounds would you use for that?
Dawn Lunsford (36:14.217)
Well, the sound effects department would cover the explosions because they do field recording and they've got all kinds of explosions. We do the more detailed stuff like when a piece of metal falls off a truck and is tumbling towards camera or there's rock debris or glass debris and then we kind of get those details in there.
@josceljames (36:30.336)
I see. I see. that's why you mentioned the water bottle. Okay, that makes sense.
Dawn Lunsford (36:36.637)
Yeah. Yeah.
Cara Lunsford, RN (36:36.889)
Yeah, it's like these little things that you wouldn't even realize. But also I will say that if you watch a horror movie and the foley is not in it yet, the sound and everything's not in it, it's not scary at all. I've gone and visited Dawn at like Paramount or Fox and what was the one you worked on, Annabelle?
Dawn Lunsford (36:55.009)
yeah. Yeah, it's not at all scary, especially without music. Music makes it so scary. I can just listen to scary music with no picture and I get scared. Well, that's something we do in our haunted house before anybody sees anything. They just enter a room and it's all just horror film soundtrack music and it just terrifies. They just have to...
Cara Lunsford, RN (37:01.187)
Yeah, I know, and it's not scary.
@josceljames (37:03.808)
I'm scared just thinking about it.
Cara Lunsford, RN (37:06.351)
I know. I know.
Cara Lunsford, RN (37:16.771)
Dawn does all the sound for that. All right, all right, Dawn, cue us up. They do, I know, you feel alive, I think. I think when you're scared, you're reminded that you're alive.
@josceljames (37:20.17)
People love being scared.
Dawn Lunsford (37:22.377)
We're going to.
@josceljames (37:28.67)
mean, my heart is definitely beating fast. Like I said, I'm to Kipnic, but I don't think I would go to the movies for entertainment like this.
Dawn Lunsford (37:28.809)
Hmm?
Cara Lunsford, RN (37:33.369)
Yeah
Cara Lunsford, RN (37:38.498)
No. No.
Dawn Lunsford (37:39.697)
Oof. So I'm just sharing my screen. We're going to lighten up the mood. This got in the queue somehow, and let's see what it is. we're going to lighten it up before we end up with one more horror clip. But here's something fun and silly. Just to relieve a little pressure here. Because we've been through a lot, all of us.
Cara Lunsford, RN (37:52.473)
There's something lighter. Okay.
Cara Lunsford, RN (38:00.496)
Monty Python. Cult Classic.
@josceljames (38:01.354)
W- Monty Python and the Holy Grail
Dawn Lunsford (38:11.241)
That's a big sword fight.
Cara Lunsford, RN (38:13.352)
Sword fight.
Dawn Lunsford (38:19.571)
Hi-yah!
Cara Lunsford, RN (38:19.639)
Neither of them look good at this though. They don't really look like good sword fighters.
He just got hit on the head with the butt of the stored.
Dawn Lunsford (38:27.529)
you just got punked on the helmet.
Cara Lunsford, RN (38:34.384)
and off came the arm. There's the-
Dawn Lunsford (38:34.441)
there's a wound.
@josceljames (38:35.067)
@josceljames (38:38.986)
The arm came off.
Cara Lunsford, RN (38:40.655)
He says,
Dawn Lunsford (38:41.083)
It's but a scratch.
@josceljames (38:49.15)
Hahaha
Cara Lunsford, RN (38:51.821)
It's just spurting blood out of his shoulder.
@josceljames (38:56.645)
And it's squirting.
Dawn Lunsford (38:56.665)
now we cut the other arm off.
Cara Lunsford, RN (39:00.664)
Squirting
Dawn Lunsford (39:05.009)
He still wants to fight, he's kicking him.
Cara Lunsford, RN (39:07.459)
He's kicking him with nose.
@josceljames (39:09.748)
with no arms?
@josceljames (39:15.69)
Hahaha.
Dawn Lunsford (39:19.369)
He's kicking him in the butt
@josceljames (39:20.147)
Just a flash...
Cara Lunsford, RN (39:20.207)
It's just a flesh wound.
@josceljames (39:27.611)
He cut off the leg.
Cara Lunsford, RN (39:28.047)
He has no-
Dawn Lunsford (39:28.574)
Peace!
No arms and one leg.
Cara Lunsford, RN (39:33.347)
What do you call a man with no arms and no legs?
Dawn Lunsford (39:35.742)
boy.
Cara Lunsford, RN (39:43.193)
He saw it.
He literally has no arms or legs.
@josceljames (39:53.002)
Come on then.
Cara Lunsford, RN (39:53.667)
There's really nowhere to put a tourniquet. There's nowhere to put a tourniquet on that guy.
@josceljames (39:58.014)
Well, honestly, I don't see any active bleeding right now. And he's screaming.
Cara Lunsford, RN (40:03.48)
Not anymore.
Cara Lunsford, RN (40:07.309)
All right. OK.
@josceljames (40:08.276)
No active bleeding.
Dawn Lunsford (40:10.003)
All right, what do you do for someone who's just had their arms and legs cut off?
@josceljames (40:14.237)
Well, like Kara just said, you gotta turn to get you gotta turn.
Cara Lunsford, RN (40:16.237)
You bring in the chaplain.
@josceljames (40:21.256)
you take a tourniquet and pray.
Cara Lunsford, RN (40:26.869)
where you would put a tourniquet, those were like clean cuts to like the shoulder and the groin. Yeah, like that was like right at the groin. Like there was nowhere really to put a tourniquet.
@josceljames (40:29.446)
Yeah. Yeah. To the shoulder.
and the hip.
@josceljames (40:45.62)
Yes. Pressure? Yeah, definitely pressure. There was an arterial bleed, which we saw, right? It was squirting. And that's what a characteristic of...
Dawn Lunsford (40:46.473)
Pressure.
Cara Lunsford, RN (40:47.181)
You just put pressure!
Dawn Lunsford (40:52.264)
Yes.
Cara Lunsford, RN (40:54.861)
Which arteries do you think those were, Josel?
@josceljames (40:57.767)
my. Kara, anatomy was 15 years ago.
Cara Lunsford, RN (41:00.483)
The brachial, well, I'm gonna say for sure the femoral artery was severed, for sure.
@josceljames (41:07.496)
All I'm gonna say is for sure it was an artery. Because it's squirting.
Dawn Lunsford (41:10.395)
Hahaha
Cara Lunsford, RN (41:10.799)
It was for sure an artery and I'm gonna maybe go with brachial. Yeah?
@josceljames (41:15.072)
Break you, okay. Cause I remember the ER, you know it was an artery cause sometimes it would like splash on your face just like Christian Bale's face got splashed. Those are bad days. Those are bad days.
Cara Lunsford, RN (41:24.015)
yeah. Well, and those ones are like literally pulsating too, right? Like they're gonna...
@josceljames (41:32.478)
Yeah. yeah. Pulsating. Yes. But I mean, that guy stopped bleeding. So maybe he clotted very quickly. Maybe he clotted very, right? There are some bleeding disorders where you abnormally clot and he continued to fight. Yeah.
Cara Lunsford, RN (41:35.427)
Yeah.
Cara Lunsford, RN (41:47.755)
He factor five. He has factor five deficiency.
Dawn Lunsford (41:51.155)
And yes.
@josceljames (41:52.68)
What we should do is take his blood and study it because it clots so well that he's continuing to fight after an arm cut off. That needs to be researched. Yes.
Cara Lunsford, RN (42:02.833)
Yes, yes, he's definitely a medical anomaly for sure. All right, right, Dawn, you would have made those, but you would have made those sounds. Those are sounds you would have made.
@josceljames (42:06.56)
Yes. Yeah, he has spirit. He kept fighting.
Dawn Lunsford (42:11.303)
All right, we're gonna end with.
sure, the sword going through the flesh and the chainmail and all that stuff, yeah, that's all. And the armor sounds, that's always fun. We had a full suit of armor on the stage and my partner put it on one time and she said, my God, they used to fight in these things? It was so heavy. It was so heavy.
@josceljames (42:35.518)
Maybe they didn't though, you know? Maybe they didn't.
Dawn Lunsford (42:38.409)
Maybe they didn't. I don't know. I never met a knight.
Cara Lunsford, RN (42:40.474)
Like.
@josceljames (42:41.987)
Maybe they were just dressing up.
Cara Lunsford, RN (42:44.432)
I met Elton John once. He's a knight. He did not. No, no, he did not. He might have. He might have.
Dawn Lunsford (42:46.12)
you met a knight? Yeah, you met a knight. He did not have any armor, right?
@josceljames (42:52.02)
that you saw maybe had like the underneath, know, underneath staying ready. Some Elton John would stay ready, right?
Dawn Lunsford (42:55.527)
Maybe? Same-mail.
Cara Lunsford, RN (42:59.8)
He staying ready. Yeah.
Dawn Lunsford (43:00.713)
Yeah, I think I think once you're knighted you have to wear chainmail. I'm pretty sure that's how I think It's like a British law or something. Okay, so this is our final clip. I believe it's seven with Brad Pitt if I'm not mistaken
@josceljames (43:04.416)
Underneath?
Yeah. Yeah.
Cara Lunsford, RN (43:16.88)
seven. Gosh, I actually did see this. I saw seven. this is about the seven deadly sins, right? Yes.
Dawn Lunsford (43:26.363)
I believe so. This is the sloth.
@josceljames (43:26.911)
Yeah.
Great movie.
Cara Lunsford, RN (43:31.12)
my. I feel like those, that's a lot of little like pine trees, like car fresheners. That's a bad sign when you see that many car fresheners hanging from the ceiling. That's a, you're trying to cover something up.
Dawn Lunsford (43:42.597)
yeah.
Dawn Lunsford (43:47.657)
yeah, there's like hundreds of them.
Dawn Lunsford (43:52.49)
There's something underneath the sheets and they're pointing guns at it. Don't do it. yeah. Yeah. I would gag.
Cara Lunsford, RN (43:55.984)
they're gonna pull that sheet back. It's not gonna be good. What? Wait, what was that? that's, I think he's a little decomposing. Something's decomposed.
Dawn Lunsford (44:11.057)
What on... It's a decomposed body.
@josceljames (44:15.274)
decomposed body on the bed.
Cara Lunsford, RN (44:20.195)
Who kept that thing around? Someone obviously kept it around.
@josceljames (44:25.214)
the mastermind.
Dawn Lunsford (44:26.131)
Call an ambulance? Did he just say call an ambulance?
Cara Lunsford, RN (44:36.303)
Wax sculpture, there's nothing wax about that.
@josceljames (44:37.344)
It says sloth, sloth on the wall.
Cara Lunsford, RN (44:41.367)
Sloth.
and there's pictures. Someone took pictures, a lot of pictures.
Cara Lunsford, RN (44:56.111)
I think this person was tortured. This looks like they were, it looks like they were tortured.
Dawn Lunsford (44:57.225)
Dawn Lunsford (45:01.545)
So it looks like.
@josceljames (45:06.73)
It looks like William Defoe.
Cara Lunsford, RN (45:06.895)
it does look like William Defoe. Like that used to be William Defoe. It doesn't look like William Defoe anymore.
Dawn Lunsford (45:08.677)
It does.
Dawn Lunsford (45:13.257)
you
Dawn Lunsford (45:17.993)
Ugh.
Cara Lunsford, RN (45:21.963)
Ugh.
Dawn Lunsford (45:25.193)
no, it's it's alive. What? No. Now call an ambulance. boy.
Cara Lunsford, RN (45:25.199)
Oh my gosh, no, he is not alive. It's, he's a, he's a, no. Oh my goodness. Oh, oh, oh.
@josceljames (45:34.788)
Now calling an ambulance. Well Kara, this is your specialty.
Dawn Lunsford (45:39.913)
Foo-foo.
Cara Lunsford, RN (45:42.831)
She says, hospice?
@josceljames (45:44.574)
No.
Dawn Lunsford (45:44.989)
Ha ha!
@josceljames (45:47.486)
No, said you've done wound care. You're like, wound care is my jam. Right? So.
Cara Lunsford, RN (45:51.601)
where is my gem? And I'm going to say he probably has some serious decubidous ulcers considering how many bony prominences there were and the fact that I don't think he's been out of that bed in a while.
Dawn Lunsford (45:53.737)
@josceljames (46:01.992)
A lot of bony promises.
@josceljames (46:06.228)
Nope, probably in a year, in a year. No one's repositioned, at least, not least Q2, for sure not every two hours, right? That is a problem, repositioning. But you could see all the ulcers all over his body. That's pretty wild.
Dawn Lunsford (46:06.58)
Mm-mm.
Cara Lunsford, RN (46:07.534)
I don't think anyone's repositioning him. What do you think?
Dawn Lunsford (46:11.901)
bed stores for sure.
Cara Lunsford, RN (46:14.008)
Not Q2. There's no Q2 repositioning.
Cara Lunsford, RN (46:24.656)
I was so surprised. I did not remember, it's been a long time since I saw that movie. I did not remember that that corpse was still alive. Like corpse looking, it was not a corpse. It was just looked like a corpse. man, corpse adjacent. Is that a?
@josceljames (46:31.796)
Yeah.
Dawn Lunsford (46:41.961)
Corpse adjacent. Soon to be a corpse.
@josceljames (46:46.634)
So we would check the pulse first though, I'm sure.
Dawn Lunsford (46:47.612)
It's coming.
Ha!
Cara Lunsford, RN (46:51.696)
Just stop!
@josceljames (46:54.878)
I'm sure they have a pulse. Well, if there's no pulse, how do they do that, right? What if it was just a reflex?
Cara Lunsford, RN (46:55.806)
and
Dawn Lunsford (47:02.237)
yeah. Well, it did kind of take a big breath, like, right?
Cara Lunsford, RN (47:04.388)
Well, I mean, we have talked about that.
@josceljames (47:05.85)
Right? Maybe it was agonal. Agonal breathing maybe?
Cara Lunsford, RN (47:09.936)
It could have been one of those final, final, like final breaths, like where the air just expels. I know it wasn't. was, he was, he was still alive. Breathing, breathing's still there, blood work. Dialysis, for sure.
@josceljames (47:14.088)
Yeah, the final breaths, right? Yeah.
Dawn Lunsford (47:17.723)
It could have been, but he kept going.
@josceljames (47:21.232)
So let's check a pulse. Let's check a pulse. Get some blood work. Get some blood work. Check the kidney functions. Yes, kidney functions for sure.
Cara Lunsford, RN (47:34.512)
We're definitely gonna need some kidney function.
@josceljames (47:36.016)
Yes, let's get a CT scan.
Cara Lunsford, RN (47:38.796)
see she's getting... Transport stat.
@josceljames (47:40.745)
of the head.
Cara Lunsford, RN (47:47.911)
my gosh. First of all, think that if you tried to transport him, pieces would fall off.
Dawn Lunsford (47:54.312)
fall off. yeah. That thing was ready to go.
@josceljames (47:55.321)
yeah. But then we know that we have to just turn it off once it falls off, right? That's what we learned from the last.
Cara Lunsford, RN (48:02.897)
We do, yeah, from the last time. Like if something falls off, you put a tourniquet on. However, I do think there might be connective tissue issues on, we may have.
Dawn Lunsford (48:08.297)
Note to self.
@josceljames (48:14.292)
Maybe, yeah, from the joints and maybe some PTOT will be needed. PTOT? Rehab, acute? Yes, yes.
Cara Lunsford, RN (48:19.616)
For sure there's gonna rehab, yes. Severe muscle atrophy, severe, severe deconditioning is gonna require some PT and OT.
@josceljames (48:27.54)
Maybe, yeah, P-T-O-T. Maybe a wound vac? How many wound vacs?
Dawn Lunsford (48:30.259)
And those bed sores are gonna need some cream, I'm sure.
Cara Lunsford, RN (48:36.202)
yeah, yeah, definitely Woonvacs.
@josceljames (48:38.153)
let's probably start some antibiotics right away.
Cara Lunsford, RN (48:42.488)
Yes, I think some of that looked infected. For sure there was some major infection. I don't think I've ever seen anything like that. He actually looked almost like a zombie, like he was not real.
@josceljames (48:49.322)
Check it, yeah, let's check attempt.
@josceljames (48:59.379)
yeah, for sure. For sure. I thought I was watching World War Z, because Brad Pitt was in it.
Cara Lunsford, RN (49:04.332)
It had that vibe. It had a little bit of that vibe. I think that that's also kind of one of my worst nightmares is that...
Someone who looks like they're dead is not dead and just like gets put in a coffin or gets buried alive because they look dead. Like that person could totally have ended up.
@josceljames (49:33.684)
Yeah, buried alive.
Cara Lunsford, RN (49:34.296)
in a coffin. Yeah.
Dawn Lunsford (49:35.721)
Isn't that where dead ringer came from? They used to put a bell on the toe in case you get buried alive by accident because medicine wasn't advanced enough. I'm gonna look it up. by the way, I'll tell you the answer to your question. But yeah, a dead ringer, they would put a bell on a rope. And so if you wake up and you're in your coffin, you could move your toe and ring the bell and they would dig you up.
@josceljames (49:48.958)
I've heard of that. I've heard of that.
Cara Lunsford, RN (50:00.923)
But how, how shallow are they burying you that they can hear a bell?
Dawn Lunsford (50:06.186)
no, no, no, the string goes up and through a pulley and the bell's outside. And so if you're checking the graves, you're like, there's a bell. I guess we jumped the gun on that one. Sorry.
Cara Lunsford, RN (50:21.806)
did not know that. Dead Ringer.
@josceljames (50:23.732)
They should have put one in Kill Bill. Kill Bill should have. Yeah, Beatrix.
Dawn Lunsford (50:24.235)
I'll fact check that. I'll fact check myself.
Cara Lunsford, RN (50:27.13)
They should have put one in Kill Bill. Okay, so what was my fact check?
Dawn Lunsford (50:29.737)
Texas Chainsaw Massacre was loosely based on a true story, but it was really more of a clever marketing hook. The characters were completely fictional. Its inspiration did loosely come from a real life murder. So it wasn't really based on true stories.
Cara Lunsford, RN (50:47.652)
Okay, so it wasn't really a massacre. Somebody just got killed with a chainsaw and then they like, they did something based off of that.
Dawn Lunsford (50:52.649)
perhaps.
Dawn Lunsford (50:59.087)
this is, it was partly inspired by the crimes of Ed Gain, which if any of you are on Netflix, there's a whole series on Ed Gain right now.
Cara Lunsford, RN (51:05.328)
interesting.
Cara Lunsford, RN (51:11.979)
interesting.
Dawn Lunsford (51:13.127)
He robbed graves and made furniture, clothing, and masks from human remains.
Cara Lunsford, RN (51:18.704)
Dawn Lunsford (51:21.819)
And his obsession with body parts and skin led to his nickname, the Butcher
Cara Lunsford, RN (51:22.006)
Cara Lunsford, RN (51:28.4)
Gross. That's so gross. Ugh.
Dawn Lunsford (51:32.391)
He also inspired Norman Bates in Psycho, the Norman Bates character, and Buffalo Bill in Silence of the Lamb. Yeah, interesting.
Cara Lunsford, RN (51:37.006)
Yeah, that's what I, yeah, that's what I knew.
@josceljames (51:43.936)
Those are interesting.
Cara Lunsford, RN (51:44.464)
Wow, he's infamous. What an inspiration. Well, you know.
Dawn Lunsford (51:45.993)
What an inspiration.
Dawn Lunsford (51:53.385)
You can only hope to touch that many lives with what you do.
Cara Lunsford, RN (51:58.71)
Yeah
@josceljames (52:00.924)
One can hope.
Dawn Lunsford (52:02.184)
No one can help. god. I'm okay. I'm gonna fact check my dead ringer while you guys talk.
Cara Lunsford, RN (52:02.583)
What can hope? Well, okay, so...
Okay, so how did this compare? Well, I was gonna ask Dawn, but okay, so in the past, Joscel, what Dawn and I have done around Halloween time is we've read stories from nurses that have written in on social media about scary things that have happened at their workplace. And so that's what we've done over the last two years. And then this year we were like, we're gonna change it up.
Dawn Lunsford (52:15.314)
I can listen.
Cara Lunsford, RN (52:37.284)
We're gonna do something different. And I think this was really fun. I enjoyed it. What about you?
@josceljames (52:41.46)
This was fun. Yes. Yeah, I loved it. I loved looking at it through a clinical lens. I loved hearing about the sound effects. We just got to make sure we check for the pulse and make sure the slabs, make sure their lab values. When do we call Davida?
Cara Lunsford, RN (52:51.632)
Just...
Just check creatinine. When do you check the creatinine and the GFR? I mean, really, when do you do that? I just discovered that they won't even consider dialysis unless it's like under 15. I mean, that's low. That is low. Yeah, I mean, so some of those people were on the brink, I think, of needing dialysis. I'm just gonna say.
@josceljames (53:00.554)
Yes. B-U-N. G-F-R greater than 60.
@josceljames (53:17.211)
I didn't know that.
@josceljames (53:24.256)
Yeah, especially the guy who rode behind the truck, the log truck.
Cara Lunsford, RN (53:30.452)
gosh. Yeah, that...
@josceljames (53:31.24)
we need their vet lab values, a chess x-ray. We need a chess x-ray.
we need a chest x-ray for the girl on the hooks. Right?
Dawn Lunsford (53:44.335)
yeah, gotta check that long.
Cara Lunsford, RN (53:44.721)
For sure, the girl on the hook, I was concerned about her. I mean, A, I was because first of all, we didn't see that she died. So she's gonna have some serious post-traumatic stress. I mean, she's gonna need some mental health. are you gonna want a social worker? You're gonna want to protect... Yes, for sure.
@josceljames (53:49.492)
Yeah, maybe a CBC Camp 10.
Dawn Lunsford (53:49.733)
Were you? Were ya?
Dawn Lunsford (54:01.203)
Right, do you wanna get a social worker in there?
@josceljames (54:05.32)
Yeah, yeah. Social worker consult. Yeah. And a CBC, CBC Chem 10.
Cara Lunsford, RN (54:13.718)
I'm at CBC, Kenton. my God. You're like, I think she's gonna need a chest tube to reinflate that lung. Maybe two, possibly two. Those were, it's gonna make me wanna go back and watch some of these in their entirety. Some I will never watch. I think I will never watch Texas Chainsaw Massacre. I have no desire to like watch people get hacked. No, no.
Dawn Lunsford (54:20.137)
you
@josceljames (54:21.855)
Yeah, maybe two.
@josceljames (54:36.83)
I will never watch those movies. I don't care what anyone says.
Dawn Lunsford (54:38.099)
No.
Cara Lunsford, RN (54:41.168)
Is there one that you would go back and watch that was intriguing enough?
@josceljames (54:46.272)
Probably Monty Python and the Holy Grail?
Dawn Lunsford (54:48.841)
Yeah, that's American Psycho, American Psycho.
Cara Lunsford, RN (54:49.362)
yeah, that was kind of fun. That's campy. That's so campy. What about you, Don? You know what? I kind of thought maybe I would want to watch American. I just love, I love him as an actor. He's such a great actor. I did think like, I think I would like to go back and actually watch that. I've never seen it. I've never seen that movie. Well, we know what we're watching tonight, Don.
Dawn Lunsford (55:00.093)
Yeah, he's amazing. Yeah.
Dawn Lunsford (55:09.755)
I don't think I've seen the entirety either. Date night!
Cara Lunsford, RN (55:17.168)
Joscel are you coming? you coming? mean, geez.
Dawn Lunsford (55:18.793)
We can all snuggle. Yeah. We'll have our blankie. We'll snuggle the three of us.
@josceljames (55:19.582)
I was waiting for the invite. I was waiting for the invite. I'm down.
Cara Lunsford, RN (55:27.816)
We'll be like Three's
Dawn Lunsford (55:29.961)
TELL A
My fact check on dead ringer, by the way, is that is folklore that they used to tie a string to a dead person's toe. It is. It just came. I don't know why dead ringer just means sometimes this is a dead ringer. A horse entered fraudulently under a false name. It's the phrase dead ringer first appeared in print in 1882 in reference to a horse race in the US.
But it basically just means someone who is an exact duplicate or perfect substitute someone who looks like someone else But dead I don't know where it comes. dead meaning exact dead on dead ringer. Yeah
Cara Lunsford, RN (56:15.726)
Yeah, yeah, because like something like looks exactly like is like a dead ringer for this or yeah, but that's really, yeah, that's really interesting. Dawn, you really have the ability to spin a story and make it sound real. It's a gift. It's a gift. Pass it on.
Dawn Lunsford (56:21.459)
Like dead on, yeah. I always wondered where that phrase came from.
Dawn Lunsford (56:31.187)
Thank you.
@josceljames (56:33.662)
That's a gift. That's a gift.
Dawn Lunsford (56:35.049)
It was told to me that way so I just passed it on. So for those of you stop passing on the gossip it is not a real thing as we learned here today. Fact check. Yeah. Shout GPT that.
Cara Lunsford, RN (56:44.336)
Fact check. Snope that thing. Snope it. Well, this was so much fun. I really enjoyed it. Josel, we have to do more of these. This is, we're gonna have to find other things to watch together.
@josceljames (56:53.994)
So much fun.
@josceljames (57:04.024)
like maybe like medical shows or dramas or comedies. I think that would be good fun, to be honest. But yes, definitely in. This was so much fun. Thank you. Thank you, Kara. Thank you, Don. Thank you, nurse.com. Thank you everyone listening or watching.
Dawn Lunsford (57:06.752)
that'd be fun.
Cara Lunsford, RN (57:07.594)
yeah.
We should watch some comedies. Yeah, that sounds great.
Dawn Lunsford (57:13.192)
Ha ha.
Dawn Lunsford (57:17.555)
Thanks, Giselle.
Cara Lunsford, RN (57:19.767)
Absolutely.
Yes, yeah, so definitely you're gonna be able to find this for sure on YouTube. This will be the first thing we've ever put live from the podcast, like on YouTube. So that's gonna be kind of exciting. Yeah.
@josceljames (57:36.03)
Nice. Yes. Probably YouTube would be best too, because you could watch it.
Dawn Lunsford (57:37.577)
That is exciting.
Cara Lunsford, RN (57:42.212)
Yeah, yeah, yeah. So you can go back and you can... And in case you wanna like find, you know, that spiritual person who was gonna come on and talk later, you might find it too. The spirit guide. She's in there somewhere. All right, well, happy Halloween everybody.
Dawn Lunsford (57:42.877)
Yeah, yeah, you gotta watch it.
Dawn Lunsford (57:51.271)
Yeah. She's in there somewhere. Oops.
@josceljames (57:51.434)
But with a spirit guide, we need that.
@josceljames (58:00.212)
Happy Halloween everybody. Watch all these movies if you dare.
Dawn Lunsford (58:01.065)
Happy Halloween!
Cara Lunsford, RN (58:03.664)
All right.
if you dare, if you're brave enough. All right, it's a wrap everybody. Peace. See you later, bye.
@josceljames (58:10.74)
Peace is see you later nurse calm
