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Woman Hit By A Car Has To Be Put Into An Induced Coma Before Flying To The Hospital | Helicopter ER
A 75-year-old woman is hit by a car when crossing a junction and is left with a major head injury and a possible internal haemorrhage but, before putting her in the air ambulance, the paramedics have to induce her into a coma.
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What I loved the most about this, is that the lead doctor/paramedic was not afraid to ask less experienced lower ranking personnel if there was something she was forgetting. Outstanding leadership shown there 👏🏼
@OlanKenny
2 жыл бұрын
Often in stressful situations, it can be helpful just to ask things out loud. Either for those around you to pitch in, or just to kick something in your own brain into life.
@vagabond142
2 жыл бұрын
In my first aid course (emergency first aid, so one step above basic first aid), there is something that they teach you called "situational and scene management." Basically, if there are multiple first aiders coming to assist, having an experienced or advanced first aider that can direct basic first aiders or even members of the public while also providing first aid can drastically help someone's survival chances. It doesn't mean you don't care for the patient, but you can take the role of neck immobilization, and direct others such as "okay, take some gauze and put pressure on that cut on the arm please, good hard pressure. You over there, can you please get everyone to move back a few steps so that when the ambulance comes they can get in quickly?" etc and so on. Of course, this is a WAY more advanced incident, but notice how the lead doc, after assessing what needs to be done, has the other helimed doc as a support doc that does the actual emergency procedures, while she monitors oxygenation, heartbeat, breathing, and overall patient wellbeing. The support doc does the actual RSI, thoracostomy, and can continually check around the patient's body while the lead doc directs the paramedics and manages the patient. Hence, when he found that the radial pulse was weak, he suggested it could be blood pressure, and the lead doc made the call that they would go that route, and boom, patient stabilized. Intense situation, but cool, calm heads and "Asking around the circle" helped save a patient. 👍
@sotosl5772
2 жыл бұрын
This is why training is important. In training scenarios the instructors always tell us to ask the rest of the team if everything seems right, if they have a different opinion on how to treat the patient etc. Teamwork at its finest.
@India.H
2 жыл бұрын
Not a job where ego can get in the way
@Sea-cucumber1151
2 жыл бұрын
Best care animals or people can receive is by people who know it takes a team, or can say “I don’t know”, the ones that know everything or at least they think they do or that are offended by suggestions are the scary ones with big egos that outweigh the care they give.
I'm always impressed by people like this, so organized even under pressure. Intelligent, analytical, organized. I always look up to them, so dependable.
@daveepperson885
3 жыл бұрын
Everyone looks for super hero’s, real hero’s here.
@feels6233
3 жыл бұрын
It’s called not giving a fuck
@devilos250
3 жыл бұрын
It's normal for them every days they got someone to save I some point u juste use to it
@csm.playmate2861
3 жыл бұрын
@@feels6233im pretty sure when someone is seconds from death they would be giving the biggest fuck of their lives
@hallgrimurkhallgrimsson1200
3 жыл бұрын
@@devilos250 did you have a stroke writing that msg? want me to send the paramedics?
The face of the husband just made me feel so sad, imagine what’s going through his head at that moment
@bluechang08
3 жыл бұрын
I just wonder what happens to the husband - does he go in the helicopter with the wife or does he get left to travel by road, not knowing whether his wife is alive or dead when he arrivves at the other end? In cases with kids, a parent would normally go with them, but what happens in this sort of instance?
@remains10
3 жыл бұрын
@@bluechang08 usually there is not enough room so he is kinda just left with the police and ground paramedics then goes to the hospital by road
I absolutely love that the doc asked everyone around if there were any other theories. Beautiful teamwork 👏🏼👏🏼👏🏼
@cloroxbleach2581
3 жыл бұрын
They are trained to actually ask that if they are stuck. There is no place for egos when a life is on the line.
@emz33
3 жыл бұрын
@@cloroxbleach2581 I’m sure but there’s many docs out there who’s egos get in the way (in ERs too) where they won’t listen to their nursing staff’s ideas or admit they’re wrong, even though the nurses that have been there 10+ years know a LOT and have really good ideas.
@cloroxbleach2581
3 жыл бұрын
@@emz33 There are always a few bad eggs in every profession. But the good ones take their training seriously and follow common sense.
@RiggyRonnie
3 жыл бұрын
2 minds work better than one I guess lol
@wambam3
3 жыл бұрын
wish there were veterinarians like her around, vet nurse speaking
The calmness in that doctors voice. She really knows what she is doing. What a great woman!
I would feel bad anyway but the fact that shes in her 70s and this happened to her makes me extra sympathetic :((( it must've hurt so much.
@garimamehrolia3080
3 жыл бұрын
I know right 🥺
@TeaOnTue
3 жыл бұрын
Poor lady :(
@zachall101
2 жыл бұрын
She shouldn’t have been walking in the road… wouldn’t have happened otherwise
@InshasChoice
2 жыл бұрын
@@zachall101 what was she supposed to do? FLY across the street??
@gorgeousfreeman4836
2 жыл бұрын
@@zachall101 ignorant comment. Stop being edgy minded. Doesn't get you far
"We are going to pop her off to sleep." Imagine hearing that laying there hopeless. I would think that's it, im dead.
@EmmaBGames
3 жыл бұрын
She won't remember it at all; generally, if you hear that as a patient you won't remember hearing it due to the severity of the injury to the brain.
@FlamerTurtles
3 жыл бұрын
One of the beauties of fentanyl and ketamine for Rapid Sequence Intubation (RSI) is short term amnesia. She won’t remember anything except getting someone to call 911, and even then. That might be too soon for her to remember. Some of the things we do in the field is honestly black magic.
@looksirdroids9134
3 жыл бұрын
@@FlamerTurtles This is Britain, you don't call 911 there. You Americans can't ever think outside your own damn country, can you?
@FlamerTurtles
3 жыл бұрын
@@looksirdroids9134 damn, just trying to give some insight. No where in my post was inflammatory to British people nor saying America was better. Guessing I must have triggered you somehow 😂😂😂
@sunmoon2225
3 жыл бұрын
@@looksirdroids9134 murica
now thats where donor blood goes. make sure to donor when you get a chance in life, you could be saving a life like sylvias
@MrJacques013
3 жыл бұрын
"...when you get a chance in life,". For me that was to contact a hospital when I was 18 years old (minimum age in Sweden), and to donate blood on a regular basis. You get a free checkup, do something good, and a free cup of coffee...! :-) Many years ago in Sweden it also included a shot of whiskey...! Now I'm to old to donate according to the hospitals, but to all out there if You are healthy - why hesitate...? Just do it...! :-D
@thekawaiicripple
3 жыл бұрын
As someone with serious chronic illnesses that has required a lot of blood transfusions including several that saved my life when bleeding out during a major 8 hour surgery, I thank all donors from the bottom of my heart. I wouldn’t be here without amazing people like you. You save people’s lives like mine so then I’m able to do the same for others because I’m a volunteer crisis counselor 💕
@thekawaiicripple
3 жыл бұрын
@@MrJacques013 thank you for saving life’s like my own, I’m eternally grateful for wonderful people like you 💖
@charlizesilver-davila6816
3 жыл бұрын
@@thekawaiicripple i donate every chance i get, im happy that you can get the help you need!
@MrJacques013
3 жыл бұрын
I do not think that this a big deal for the most of us to donate blood. When we are healthy we have a lot of it, so 0.5 litres (sorry all americans... guess You wanted it in another scale...?) is no big deal! I have a blood group that perhaps is rare (O Resus negative) and that is a blood group that can be given to everyone. So when I was at the University they asked me if it was Okey to take 1.0 litre, because they didn't have enough of blood. "We have to put you in hospital at least for the night, but please we have nothing!..." The next day was a BIG exam for me, so I had to say no... - But please, all You who are in a medically speaking somewhat okey state, please become a blood donar...! It is SOO easy todo it, and one day perhaps You youself need blood...? ;-)
Paramedics are honestly bloody awesome. Last year they saved my brothers life after he started suffering from sepsis and then saved me when I fell down some stairs outside and snapped my ankle completely in half. Thank god for the NHS, thank god for paramedics, doctors, nurses etc. Honestly a different breed of people ❤️
@chungusfootfungus
3 жыл бұрын
Sepsis is awful and snapping your ankle in half doesn't sound pleasant either, hope you are both doing well!!
@obviouslytwo4u
3 жыл бұрын
My brother was a paramedic for 5-years, he went vegan and decided not to help dirty meat eaters ha ha ha. What a good bro i have.
@emilybartlett7524
3 жыл бұрын
@@chungusfootfungus Thank you! He’s doing well and I’m slowly recovering 😊 xx
@emilybartlett7524
3 жыл бұрын
@@obviouslytwo4u haha
@rowa2825
3 жыл бұрын
@@obviouslytwo4u what-
What's scary is I understood almost everything they were saying - I'm an EMT and going to be going to nursing school soon. It's scarier to know how bad she really was - her broken ribs saw up and down with every breath and can cut her tissues, aggravate her blood loss and puncture her lungs as she breathes - that's her "flail chest".
@ExoVyper
3 жыл бұрын
Dear god i had no idea thats what they meant by flail... thats honestly made me shudder. Also when he says do you want a finger in, does that mean exactly what it sounds like? opening the hole?
@cloroxbleach2581
3 жыл бұрын
@@ExoVyper I think you're right. That's in the scope of what doctors and paramedics do, and I think they must be saying the hole has to be large enough for a finger to poke in there to fit a chest tube to drain blood and fluid from the pleural space (The inner lining and outer lining of your chest cavity).
@CymruEmergencyResponder
3 жыл бұрын
@@ExoVyper A ‘Flail segment’ is an area of rib cage broken at each end so it’s sucks in and out with each breath and moves independently and paradoxically to the rest of the ribs/intercostal muscles. It’s a very serious issue.
@TheEmmakathryn
3 жыл бұрын
@@ExoVyper I think, from the response, they stuck a finger in the hole next to the chest tube to check the placement, and that they could feel the lung expand. Perhaps also to check that there werent any bone fragments putting pressure on the tube or something along those lines. I would be fascinated to hear from a professional whether that's right!
@loadingdata2207
3 жыл бұрын
Not going to lie...it’d be scarier if you didn’t 😐
"She seems to be improving....then there's a problem" my anxiety raises for this women. Truly hope she is doing well
These paramedics are amazing, so calm and methodical even in dark and freezing conditions. Does anyone know what happened to Sylvia?
@Camila-serrano
3 жыл бұрын
Yes, she knocked to a car that was crossing
@echo9970
3 жыл бұрын
There doctors that are in the Orange flying suits. The paramedics and the other ambulance are all in green.
@vollelektrolysierer5773
3 жыл бұрын
@@echo9970 One doctor and two paramedics in the flight suits.
@trans_portation
3 жыл бұрын
@@xxhannahricexx1 wrong person
@xxhannahricexx1
3 жыл бұрын
@@trans_portation my bad 😬
Ahh paramedics, the unsung hero's. I had a very nasty placental abruption at 27 weeks with my little girl. I had two paramedics work on me while the ambulance was speeding...these paramedics were flying around the ambulance while controlling my bleeding and doing my vitals...they did not miss a thing. I'll never forget them, ever.
@greeneyes7912
3 жыл бұрын
How are you doing now? Xoxo
@echo9970
11 ай бұрын
Could you explain what that is for those that do not know what you had at 27 weeks, please.
As a world we are so lucky to have people willing to dedicate their lives to learn to help people in legit every way possible THEYRE heros
@Trippybunni
3 жыл бұрын
@@obviouslytwo4u I don’t disagree but this world is also full of people who do deserve it and have a good heart
Does anyone know how this turned out? I really hope Sylvia survived this. God bless her, and those who helped her. Absolute guardian angels.
I will never complain about my O- blood type again. Now I know why they always call me to donate.
@MrJacques013
3 жыл бұрын
But on the other hand - You can only get blood from another 0- - doner, and we are rare... :-D
@marquisdehoto1638
3 жыл бұрын
@@MrJacques013 I wanted to write something like that xD Let's help others and ourself xD
@rebeccadenham4946
3 жыл бұрын
@@dogz200816 that’s amazing that you would do that
@peterd788
3 жыл бұрын
Im O- and donated for decades.
@echo9970
3 жыл бұрын
7% of the population have O-. I have A- which is just 6% of the population I can only get blood from O- and A- And I had to have a blood transfusion when I had emergency surgery to save my life. I was in ICU and I do remember waking up for a short amount of time. And my surgeon said my blood was doing odd things so that's why I was still in ICU so they could keep a close eye on me.
I'm really excited to work as a paramedic. Hoping to be one soon. ❤️
@barneyneal9026
3 жыл бұрын
Good luck!
@nerjemariedapo8151
3 жыл бұрын
@@barneyneal9026 Thank you so much! 😁
@loismali3926
3 жыл бұрын
Good luck on the journey!! 😊
@coover65
3 жыл бұрын
Best of luck in your quest. Been doing it for nearly 23 years and still couldn't think of a better career.
@singingsam40
3 жыл бұрын
That's fantastic, I wish you all the best! As a brittle asthmatic, my life has frequently been saved by paramedics, doctors and nurses. Thank you for the difference you'll make to people's lives ❤
So impressed with the emergency services and how dedicated they are to saving life under any circumstances. Amazing
I wish that these videos included a follow-up about the patient’s status once they arrived at the hospital, what their diagnosis were, healing and recovery, etc.
I always feel so bad for elders because they are old and most times very nice
“How are you?” *looks at woman hit by car* “Better than her by the looks of it” I-😂😳
This is why, even as a trainee, if you have an idea say it! 👏🏽👏🏽👏🏽 Could’ve well and truly saved her life or given her a better outcome. That was actually beautiful to watch :)
@cameronallan5624
10 ай бұрын
you can see he is a trainee as well. it says on his lanyard. "Flying trainee program" or something along those lines. Well done Kit.
These guys are sick at what they do man!
The leadership and teamwork between these guys is absolutely phenomenal.
These paramedics are the definition of heroes, these are the sort of people who deserve huge pay rises.
You men and women try so hard to help and save life’s god bless you all. The lives you’ve saved and people you’ve helped
How is she doing now? Is she at least alive? This is the worst cliffhanger ever, especially when I'm over here crying for her and worrying for her husband as well!
@Karzieks
2 жыл бұрын
I hate how they leave us hanging and don't tell us of the outcome. I how you was alright in the end.
Absolutely incredible. Enormous respect for these people
Anyone have a update on her? She is the same age as my Dad, and this is very relatable. Any update would be greatly appreciated!
@bradmikkelsen8960
3 жыл бұрын
I wouldn't keep my hopes up. I work in accident litigation and accidents like these rarely lead to full recoveries. Especially at this age.
I love their bedside manners 🥺 they treat their patients with so much love.
I always hear the saying ‘we did everything we could to save them’ in films or tv or wherever, but this is the closest I’ve actually seen the reality of it - if it was a scenario where they had run out of options and they didn’t have the necessary facilities close enough, that poor lady would’ve died. I don’t know how I’d feel if I was watching myself from above and understood the situation and passed away - I’d hope I’d feel content and at peace, rather then dejected and defeated.
I admire these people. Staying calm during such a stressful situation. I definitely wouldn’t be able to do the job they do.
Amazing teamwork. Obviously very difficult conditions to be working in. We are seriously fortunate to have this calibre of medics.
These guys are all Heroes. Hats off to you
These people are heroes. Thanks for your hard work before this night, so you will be so well prepared. You are all amazing!!
Wow hats off to those brilliant paramedics I was in the edge of my seat, I wonder if she survived or not
@babohkhan6653
3 жыл бұрын
@Echo 9970 true 100% the staff was amazing n spot on
As far as I can tell Sylvia Dalton did not immediately die of her injuries on the 29th November 2019 on the A166, as she is not listed in the England & Wales Deaths 2007-2020. Although undoubltly her injuries were life changing and shortening.
@wonderwend1
2 жыл бұрын
Nice detective work!
that is a hell of a group of doctors and nurses, god bless them, and guide there hands and hearts to heal many more people.
Once again it shows blood pressure is everything. Such a simple thing to check but such a clear indicator of wellness. Amazing.
These people do an incredible job and I’ll be forever in their debt. Amazing.
This is absolutely shocking to see. Lord bless this people with the courage to save lives everyday. To perform a procedure like that outside of a hospital is insane! I watch these shows quite often and never have seen something like that. Wow.
This has got to be horrific to have nobody like a family member or friend to make sure you’re okay when you can’t speak for yourself. I would be horrified in her position. Poor thing
Studying as an Anaesthetic Practitioner (ODP), this is great work by the team. Deffo learning from this
Life can be so scary at times. However we are so lucky to live in an age where we have the wonderful service's that we have.
This is a great example of treat or transport in trauma
Bless her soul, bless those paramedics, bless the donor
The teamwork here is amazing. The lead was enough of a team player that she asked everyone for ideas. Bravo!
Much love for the paramedics and team.
That hurts man
Our medical staff are just brilliant.
@cloroxbleach2581
3 жыл бұрын
I am proud to be from the British pilgrims way back in the day...
This was a masterpiece in teamwork and leadership.
Good group finally figures it out. Great
Very impressive work to all involved must be so hard to remain calm in those circumstances ,hope the lady went on to make a full recovery .
@coover65
3 жыл бұрын
You'll find the flight paramedics are well and truly seasoned staff members. I've been a road paramedic for 23 years. In 99% of cases, jobs like these are a weekly event that you take in your stride. You know exactly what to do in a methodical fashion and have no real trouble keeping calm due to familiarity. But to an outsider it must look like organised chaos! You're that focused on the task at hand that you kind of become oblivious to "the big picture" that surrounds you, especially when multiple patients are involved.
@coover65
3 жыл бұрын
@Echo 9970 Judging by the different uniform, yes. I have no idea if UK paramedics are trained in performing RSI (placing a seriously injured patient in a coma), like Australian ones are. I'd imagine they are. Doctors love to "play" on scene just as much as anybody. That's what this field is all about.
That’s not an ambulance that’s a freaking hospital room, it literally has everything 😅
the people with severe head injuries all moan and groan in the exact same fashion i had no idea of that
Wow, sublime. Very organized crew, professionals at it's best
My god, these people are amazing.
Amazing people attending her
Modern medicine is mad, I used to be terrified of getting seriously ill but then you watch what these people can achieve everyday and it makes you realise that you can survive some really terrible things
What would we do without these people, seriously
wow the crew are amazing
That’s incredible team work!
I wish i could give blood sadly I’m never going to be able to but I’m an organ donor they can take absolutely anything once i am dead.
I really want to know if and how well she recovered... I tell myself she recovered well, otherwise they wouldn't show it on tv. Hope I'm right. Any further info on this? Season and episode of the tv-show maybe? Thanks.
@neovo903
3 жыл бұрын
I checked the episode S5E21 and she looks to be ok, (I've scrubbed to the bit where she's talking to the camera I presume outside their home)
@MrsJolene-
3 жыл бұрын
@@neovo903 All right! Thanks for letting me know all this! Such a relief tho, I'll go check it out :)
@neovo903
3 жыл бұрын
@@MrsJolene- np, I wanted to find out too :P
@God-gi9iu
3 жыл бұрын
Ooooo
I was thinking perhaps it was internal bleeding but she wasn’t pale or sweating though, but the low bp and tachycardia are definitely signs of that especially in the femoral artery where it can’t be seen till it’s too late
I'm from the US and they don't do these procedures on the street but I think its great ... Do what you gotta do!!
@andywilliams7323
10 ай бұрын
Yer the US only uses the Anglo-American system (scoop and run the patient to the hospital and doctors). The UK uses a hybrid of the Anglo-American system and the Franco-German systems (bring the hospital and doctors to the patient on the scene). As shown in this video, when needed, UK EMS doctors will do complex anaesthesia, and life support on-scene, and sometimes, even emergency surgical operations on scene. Procedures which in the US can and are only done in hospital, never at the scene.
What a fantastic team kudos to everyone involved
Fantastic work by all of these pros!
Holy crap 75 years old and survived a 45mph hit by a car?
I heard "70 years old," "hit by a car going 40 miles an hour" and "one pupil's larger than the other" and was like omg there's no way this woman is going to live 😶
Absolutely amazing people here, super heroes
I wish they'd tell us more about the patients recovery after the rescue. How's Sylvia doing now?
Brilliant job done by the team
I love the professionalism "are you happy to do -blank-"
Did she end up surviving or passed away ??? Why would you end it like that without informing us of the outcome.
@mikeystenning1760
2 жыл бұрын
ive seen it said by someone else who had seen the source episode that in the end part she appeared to be well though i dont recall if they mentioned any sort of long term after effects. Season 5 Ep. 21 i believe
Why do we never get the ending to know how each patient does? 🥺
0:49 almost thought they had Sir Alex Ferguson in there, almost choke on my cereal
when i realised she was over 70 i felt so bad for her
Nothing major - but did it all end well...?
@neovo903
3 жыл бұрын
I checked the episode S5E21 and she looks to be ok, (I've scrubbed to the bit where she's talking to the camera I presume outside their home)
What an awesome team... I was in a very similar incident and was wide awake when the cut into my ribs it insert a chest tube let's just say I wish these people were my medical team
No update on this? The worst thing is when you don't know how it turned out
Imagine how much money the medical bill would be if this was in America
@popcorn32145
3 жыл бұрын
Probably be like $500k for us lol
@jamesw9933
3 жыл бұрын
@@popcorn32145 I’m willing to bet more, all those drugs, a blood infusion, an ambulance, an air ambulance, hospital treatment, hospital stay, multiple surgeries, rehabilitation, etc etc that would run you soooo much money in America
@popcorn32145
3 жыл бұрын
@@jamesw9933 Ya dude we are fucked lol. Tricare ftw for now.
@jamesw9933
3 жыл бұрын
@@popcorn32145 well the NHS isn’t exactly a dream either, every system will always have it’s downfalls
I’m sorry but I laughed when she said “I’m on an airplane, aren’t I?”
@dhxxco
3 жыл бұрын
See you in hell
@garthhentley8870
3 жыл бұрын
Ah,but that's not what she said .
What it takes to be a helicopter doctor in UK?
"How're you doing" "Yeah, better than this lady by the looks of it" O.O :'D
@jeremybarretta5282
3 жыл бұрын
Ya kinda fucked up thing to say imo
@God-gi9iu
3 жыл бұрын
O
@greeneyes7912
3 жыл бұрын
@@jeremybarretta5282 It's a strange thing today but honestly if they don't have some sort of light heartedness it makes the job a lot harder. From experience :)
but is she ok now?
@neovo903
3 жыл бұрын
I checked the episode S5E21 and she looks to be ok, (I've scrubbed to the bit where she's talking to the camera I presume outside their home)
Its absolutely horrible how condescending these paramedics are
Why are they working outside the ambulance ?
I’m kinda disappointed it didn’t give an update
Amazing humans!
I would be interested how that donor blood is transported. We need that here in the USA
Which episode is this? I want to see the rest! Great Team work
@neovo903
3 жыл бұрын
I checked the episode S5E21 and she looks to be ok, (I've scrubbed to the bit where she's talking to the camera I presume outside their home)
She surely will need urgent surgery. Prayers for Sylvia and her husband.
So sad to see but good job giys
“Cerebrally irritated” 😭😭😭
Guaranteed fire brigade cut the roof off the car that clipped this woman 😂😂😂 surprised the ambulance didn't arrive at A&E as a convertible
Do we know if she survived?
@neovo903
3 жыл бұрын
I checked the episode S5E21 and she looks to be ok, (I've scrubbed to the bit where she's talking to the camera I presume outside their home)
@alegomanYTPs
3 жыл бұрын
@@neovo903 having fun replying to a dozen or so people with the same exact message?
We don't pay these people enough.... we CAN'T be paying these people enough
Interesting that Doc's are flown in to complete an intubation. This is standard paramedic care in our service.
@tarakay9768
2 жыл бұрын
Paramedics can’t perform a thoracotomy and they can’t give blood, this patient needed both
@benjaminsmith609
2 жыл бұрын
Intubation is still a paramedic skill but it is not a paramedic procedure in some trusts due to the risks and the relatively rare amount of times paramedics perform them, so LOMs and HEMS tend to be the ones to perform these as they do them much more frequently.
@benjaminsmith609
2 жыл бұрын
@@tarakay9768 it was a thorocostomy needed in this case rather than thorocotomy
well this is 3 times as painful as my bike accident which i nearly was diasbled nearly couldnt even remember my parents and i was in a coma for about 1 hour and the pain was unimaginable now i recovered had this accident in 2017 when i was 7 next to me was a girl who broke her leg i think oof
@lisasallery7860
3 жыл бұрын
Hang on. Are you saying you’re 10 years old? If you are you shouldn’t be watching things like this
@yuliyavlasik4811
3 жыл бұрын
@@lisasallery7860 y’all can’t do math she’s 13 and she can watch anything she likes after 12 in my opinion. At least she’s not watching other bad things right and maybe we got a budding paramedic