The Championship Ring

[@Decembirth]

Well, you gotta give credit to the makers of the ring for making something so durable. ^_^;;

[@SungSam-ec9fg]

mh8

[@ernestjoseph7256]

😂😅😅😅❤❤❤​@@SungSam-ec9fg

[@cookmautube]

I love all your videos but I must say this video defines why I think what you are doing with these videos is awesome. You show ALL of what goes into emergency medicine. So much of what we do is tedious and likely viewed by some as "not important" in the grand scheme of things. These are the things that most in the field can learn from but will rarely see presented in this format. Thanks again!

[@yves3560]

You undoubtly are a fine doctor, but a lousy mechanic :) :) At least you got the ring off, but I couldn't even start a surgery :) :) About the GEM cutter : allow the machine to rev up at max rpm, only then start cutting without pushing down the blade, allow to rev all the time. Use a little water running down the place to cool easily.

[@lmellick]

Thanks, Mendy. They do take hours of work to create, but it's worth it. Thank you for the kind words. I am a huge believer that videos are a fantastic way to teach and learn.

[@Carcey3]

I'm a jeweler and have removed more rings than I can count. One trick that I've found is, once you've cut through the ring and opened it up some, is to gently pull the skin back through the ring as you work the ring off the finger. This helps reduce the amount of swollen tissue that bunches up around the knuckle. I've also had the person soak his/her hand in ice water to help reduce the swelling before trying to work the ring off.

[@dotadojardiner]

That GEM cutter is an excellent piece of kit, I have never seen such effective cutting before. It has to be said that the operators are just as sharp!

[@papalevies]

That thing is frustratingly underpowered

[@youtubasoarus]

+papalevies Just don't ask how much it costs. :/

[@wzukr]

+papalevies: Incorrect, they only used the wrong cutting disc (recommened for soft metals like Gold, Silver, Brass and Copper) until swapping to the diamond disc.

[@Mag27]

+papalevies they should have put a piece of metal under the ring and got a dremel out with a metal cutting disc on the end ;)

[@Ucceah]

i thought the same. even with the proper cutting disk, the motor was just weak. it might be a crappily implemented "safety feature", though, to prevent too much heating. but that tool still wasted way too much time.

[@Mag27]

Cuda FX Yeah

[@mendywhitman2290]

Doc I know I've already said this but felt compelled to be a tad repetitive and evince my immense appreciation for making these videos I know they're not easy to make and many hours go into making them so thank you so much. And keep doing what you're so amazing at doing.

[@hillhead11]

Is that grinder from fisher price?

[@mattisdope8699]

😂😂😂😂😂

[@blakscopermognett8812]

No it was that grinder from the dollar store in the toy section

[@faithwhatevers4165]

It's worse than the thing I trim my dogs nail with 😂

[@edd752010]

Fuck a fisher price would be fucking good compared to this dick head

[@Dripshadow1]

i thought that too but i guess its so weak because the ring would get too hot too quickly so...

[@mrperez123]

WOW Dr. Mellick that was something else. I kept thinking his finger would have been numb and much more swollen.

[@darinbarfield8738]

Sorry doc, But I've got a side grinder with a diamond blade- that will easily cut through stone , granite, metal , etc... And I could cut through that ring in about 2 mins- taking my time the last little bit as not to cut his hand. Could have used cool water if needed to reduce heat transfer from the friction. Perhaps they should have called in one of the experts from the maintenance dept.

[@lmellick]

Okay, next time!

[@natesharpejr1742]

they really should have haha

[@AwsomePicklez]

+Darin Barfield they only want to remove the ring not the finger

[@furrylife9805]

Darin Barfield he probably wanted to keep most if the ring as he can

[@QuadrantBottomHalf]

That tool is made specifically for removing removing rings and not contract work.

[@debrabrokman4518]

Who knew? Watch out for water retention:)!!! The entire ER TEAM ARE HEROES!!! Truly educational to be able to watch!!!

[@Fmr.PBAJoeJenkinsII]

The ring is made of siladium. It's extremely difficult to cut and cannot be resized. I'm a Professional Bowler and have many rings. Some are Gold but most are Siladium. That is how I know.

[@acaminhodaluz7618]

Jesus loves you ❤️

[@CasSpell]

I had the same accident. Went to sleep and boom the next day my finger had swollen and i couldn't get it off. I tried using soap and water with no luck so i went to the doctor in a hurry and he tried this method they did on this video in the beginning and that didn't work. The doctors told me to go to the hospital really quick as my finger started turning blue. I came to the hospital and was taken in to the emergency room right away. There were 4 doctors there who tried with no luck and my finger turned more and more blue. They told me to go wait in the waiting room and 10min later i saw 7 firemen walking in and pointing at me to follow them while they carried a tool box 😅 They had a saw machine and cut my ring in half. My finger was stone hard and dark blue but after a while it went back to a natural colour and softened up. Thank you for reading :)

[@rickyproductions433]

Was I the only one shouting, PUT SOME DISHSOAP ON THE FINGER

[@VanityThoughts]

when it gets tight oil or lotion or soap doesn't work this happend to my mom yesterday but we just used wire cutters because it wasn't that bad

[@maggiegee8351]

Ricky Productions loo

[@محمدعبدالله-و6ب7ض]

Ricky Productions 7

[@rcb3921]

I would think that KY is as good as or better. They were using that.

[@dayquilandnyquil9527]

Nope

[@lmellick]

Interesting point, your suggestion sounds reasonable. Pushing fluids up, however, may put more fluids right at the source of the problem. Also, the main area being compressed was the PIP joint and getting edema fluids removed from that area is really what we wanted to accomplish and would work wrapping either way.

[@Xezlec]

Friction is how the blade cuts. I can't understand putting KY jelly on it to "reduce friction" when you're trying to cut through something!

[@screensnot]

+Xezlec Friction is the enemy of cutting. Friction is also the result of cutting. But the more cutting you do, with the least amount of friction, the better.

[@rj-nj3uk]

To reduce the heat generated from friction.

[@lilymalfoy2085]

It is supposed to help reduce the heat

[@SilasGrieves]

It felt long to me and I had jump cuts to remove the time. Thanks for the post, Dr. Mellick and great job, team! Glad to see the patient got out relatively unscathed.

[@little3gg776]

close your eyes and listen at 10:43

[@renteria8055]

MonsterBass 101 😂😂😂😂

[@matthewmckenna4709]

little 3gg hahaha

[@yourivanloon7506]

He is comin'

[@Renalda5TV]

lol

[@chantesmith9454]

Lol

[@BentleyJax-River]

That was just crazy! Your team did a great job!

[@KlaPzCA]

That must've been such a relief when that ring went off

[@inqilabzindabad3298]

Really glad you didn't jump straight to the motorized part and showed some other, possibly less traumatic alternatives. Great job to your team!

[@lmellick]

Thanks!

[@InDeepPudding]

I don't get how a ring he's worn for a while could randomly get stuck on his finger like that?

[@krankdellz123]

Did you hear them he said he fell asleep over the night and got stuck

[@noahdejesus5601]

+KranK Dell Did he gain a bunch of weight while asleep?

[@everfluctuating]

+Noah DeJesus its more swelling than weight gain.

[@FinalFantasyVll]

+InDeepPudding I used to wear a ring every day and if i slept with it on my finger would swell and it'd be super hard to take off! I guess his just swole up really bad

[@Goldfish_Vender]

+InDeepPudding You fingers swell at night when you sleep. It's part of the rejuvenation process.

[@leemiller3080]

Dr Mellick, just a suggestion. When you're trying the string trick, start wrapping the string at the top of the finger. This helps push fluid back. This works for me.

[@InsomniacManiac]

The staff deserves a championship ring 😉🤣

[@Keith_Mikell]

Great video! The gem is designed to do minimal damage if a slippage were to occur(my guess). I can see that feature hindering you guys in this video. The pt was a trooper, though. Thanks Larry!

[@TheXopony]

I have a pair of bolt cutters that would have snipped that thing right off of there.Have removed two rings with them in past couple of years ,no damage to finger.

[@andramalmsteen4807]

Larry Mellick : Another time if you get the same problem you can try my suggestion. You don't have to cut the ring, you just need to smear his finger with soap suds and then pull while twisting the ring out. If necessary, soak his finger into the water 10 minutes before you pull the ring out to make sure his finger skin softer.

[@isisbenny404]

I could not find my original comment to reply back to you, but dremel tools are rotary tools that can be purchased at any home depot. From my experience either a cut off wheel will zip right through metal, or for safety of your patients, maybe a diamond carbide burr would work very well. That finger guard would work perfect with a dremel tool, or maybe a popsicle stick or tongue depressor would suffice for a single use.

[@ZXLMaster]

Diagonal cutters, used as a double inclined-plane, would open the sawn gap, thus loosening the ring by increasing its circumference.

[@MrKawaiiKing]

👑🌹Man. These school rings are golden🌹👑😂👌🏻😎

[@oliviahigh5072]

I feel bad for than man. His championship ring is ruined!

[@frederickglass3501]

send it back to Jostens/Balfour... they will likely fix or replace it... but not for cheap

[@Indyhoosier-pm8si]

+Olivia High the college will replace the ring

[@oceanmermaid7581]

the ring doesn't matter as much as the finger

[@therealTOTOfan]

when i was little i got a ring stuck on my finger too, my mom then took me to the fire department which was nearby where i lived and they had this little hand saw, similar to this video, after a few times dipping my finger in cold water because it got hot it was open and i was the happiest 5 year old in the world! great job you guys as well

[@lmellick]

Must be terrifying for a 5 year old. Thanks.

[@nubyrivera97]

Time to change , the way those rings are made. Lesson learned. Thank you.

[@argelojosecardoso5785]

Atos 2.38 o batismo verdadeiro literalmente no nome de JESUS Cristo. Igrejas unicístas!

[@wzukr]

You guys didn´t care only for the patients finger/health but also for his ring. Great job, Dr. Mellick and team! Cutting it simple into halfs would have worked faster but would also destroy his valued ring.

[@brauliomedina242]

i will rather destroy a valuable thing than my finger

[@Dortoc]

Lol, I went from watching tons of chiropractor videos to this

[@lmellick]

Cool! Thanks for your great comments.

[@CUBTHEGAMER1]

WHO THE HELL PUTS A RING THAT THIGHT IM AFRAID OF RINGS NOW. i cant watch lord of rings and i cant wear my favourite rings

[@Alvah707]

Just dont sleep with it on. When you sleep your fingers swell called the rejuvenation process. So he had his ring on and it swelled up and couldn't go back down because of the ring.

[@ValeriaSerpa1]

hahhahahaha

[@träumerei-o7]

How To Clean Stalin

[@träumerei-o7]

I Mean Stain

[@woodratscix5107]

Who the fuck taught u how to spell

[@jamessmith10092]

When I was young, I slipped a thick metal washer onto my ring finger. For some reason, my mom took me to the local fire department lol. They eventually ended up cutting the washer off with a double handled hacksaw. That son of a gun got real hot, and I was crying the whole time. These were really good dudes though, and I still feel super thankful to this day.

[@Noodles_321]

Petroleum jelly always works :D

[@spoodermelon9554]

Not always but helps

[@darkviprin762]

Lube won’t do the trick or vasaline

[@reyesken608]

RadioActive_Happ-I-Ness yup thats why mom always buy it

[@welcomewelcome4110]

SeLf_MaDe work to your ass .

[@logancrooks4780]

I think calling the fire department might be your best bet next time sir. But I LOVE your videos.

[@caroliine_ofc]

Brasil alguém

[@aninhasilva8854]

Ss eu

[@ladraootario8487]

Eu

[@miguelconceicao8738]

Eu sou

[@japanesedomestickmarket]

Ss eeuuuui

[@maykonkawan2234]

Opa

[@lejake7972]

2018 I think has my best memories it’s better than 2019

[@cyruslever586]

what a crappy tool.that thing has no power

[@Boredchinchilla]

If they go too fast the ring gets VERY hot and will burn his finger- they have to keep the power low and do a bit at a time. If you have ever cut a screw head or something metal with the Dremel and accidentally gotten a bit of the metal flakes flying off on your skin, then you know how badly that can burn....

[@cyruslever586]

Travis Pitt clearly. Someone with some semse and knowledge of tools also probably could cut it so that it could be fixed and not ruin the ring

[@lmellick]

Cool. Thanks for your comments!

[@youtubasoarus]

I thought you're supposed to use dental floss because it compresses better? Also, that tool is a POS! Run to home depot and get a dremel. So frustrating to watch if medical tool prices are anything to go by. That thing is outrageously ineffective. Like 1 inch lb of torque?! LOL. There are 20 dollar rotary tools that cut better than that with 5 dollar diamond encrusted wheels. Need some mechanics in the ER LOL.

[@SIave]

youtubasoarus I

[@rsthegoat4221]

youtubasoarus the er doesn't have a lot of tools they have a lot of the basic stuff

[@calebterry7967]

youtubasoarus id

[@DAILY.RE3LZ]

Ya sure

[@BriarHood]

Dude, I'm 2 years late but I am a mechanic and was just thinking everything you said.

[@travisclark9868]

starting the elastic string at the distal end of the finger and wrapping towards the ring might help force fluid from the finger into the hand and help compress the finger better?

[@julianacromey7151]

The String trick would have worked if u guys used thinner material (ex: 3 ply thread), whatever stuff u used was WAYYYYYY TO THICK! I work at a Jewelry store... Don't matter how thick the ring is or how swollen... works everytime!😊😉

[@oBseSsIoNPC]

lol, that grinder, is that powered with a spring you have to wind up?

[@MrDec1129]

Lol you'd think they would have a stronger grinder that thing isn't powerful at all

[@kevinchen830]

You're right, the grinder isn't really strong, but the thing is, to be able to use it in that kind of situation, it has to be compact in size and thus limiting its power tremendously. The bit itself is also a factor. If you had something such as a dremel, you might think it is more powerful, but you are failing to see that because they need to ensure that the bit does not break and further injure the patient, they are cutting a pretty thick grove into the ring while a dremel can use a diamond seeded thin bit that can cut through metal like this is just a couple of minutes.

[@austinepp5237]

you can get a micro die-grinder that is way more powerful then that and runs on a battery. as well as being about a third the size

[@lalitshubz]

Would it work if you put his hand in cold water, alternating it with raising it above the head? Aiming to reduce the swelling and thus helping the ring come off

[@pewpew215]

I'm making a donation of a dremel to your hospital lol. That cutter had no torque

[@kevinchen830]

Dremels have no torque. Are you high?

[@pewpew215]

That wasn't a dremmel... It was a knock off something.

[@kevinchen830]

Yeah, but dremels have no torque either.

[@pewpew215]

A lot more than that tool does

[@kevinchen830]

Have u measured the torque of both tools? No. So please stop telling doctors how to do their job. Tell u what. If u ever get a ring stuck on your finger, you get your handy dandy dremel out and cut it off yourself.

[@lmellick]

Thanks. I'll keep my open for one of them.

[@clodangel4460]

A did this at home on a steel ring…you cant imagine the fear 😂

[@lmellick]

Ring was on over night for the first time. The finger had already demonstrated edema or swelling. Eventually, ischemia and ultimately strangulation would have occurred probably in a day or two more.

[@kikihurtubise4536]

Poor poor people. Everybody is asking how much this would cost to get removed... If that happened to be it would be free. Poor Americans!!

[@TheRoyalking761]

It would be free for me too I have health insurance

[@KiloByte72]

Let me guess, you're from Canada where the cost of goods is much higher thanks to outrageous sales taxes. Libtards and their "free" healthcare... lol

[@TheRoyalking761]

No im from America. (Pennsylvania)

[@KiloByte72]

TheRoyalking761 I was replying to Kiki.

[@Aaron120303]

KiloByte72 Well her profile picture does have her wearing a Vancouver jersey and she Poor Americans..... Soooo you be the judge?

[@baranarslan5056]

This video would be a really good ring ad :D

[@guzman9011]

He got a non gold ring with non diamond stones lol

[@ethans6320]

Mr Keep it real they are damn expensive

[@kristinaivanova4559]

Mr Guzman 6

[@hernandez.x23]

Mr Guzman tru that

[@ted2035]

Hes humble so what?

[@TattedGamer.7421]

Mr Guzman yea I noticed it wasn't hold after they took it off from looking at the inside of the ring lol. But I bet he ain't gonna wanna put on another ring after that lol

[@TheBabybax]

We had the same patient in A&E. It was also a big ring and the ring cutter didn't work. We used the string from the oxygen mask and it worked!

[@lmellick]

That's great! Thanks for the report.

[@PesMobile-ny4yi]

Esse anel, só Pode ser Blindado.

[@lmellick]

Thanks, Neal. And, the battery was definitely dying towards the end.

[@timengland3649]

A good Dremel would have had that off in 5 minutes. On sale at LOWES or Home Depot

[@d4rkhound388]

Tim England Seriously you are right Get a piece of metal slide it in under the ring and make sure you have a steady hand.

[@wholeNwon]

KY on skin around the ring and as much under as possible followed by progressive compression of the digit with elastic band (red rubber drain, pediatric Foley, rubber bands, whatever. Wait a few minutes. Remove compression and then slide the ring off. Usually works and easy.

[@robinwhiteheadg9587]

Did you try having him stick his hand in ice?

[@wickwire9560]

Exactly what I said !!

[@larrybakke7552]

You can’t stick your hand in ice ! On ice.

[@josecarlosdasilva8016]

Ainda vai usar anel ?

[@lmellick]

Thanks, John.

[@Breal191]

too thick of a string!

[@continuous_study]

U doctors u also deserve a championship ring....

[@The51239]

Poor guy.

[@joecarter707]

Install the metal sliver between the ring and skin then produce the slot in the narrow part of the ring. Take a pair of diagonals or end cutters and place the tips of either tool and squeeze the handles together. This will expand the slot providing the extra diameter. If the ring is gold or silver the ring can be cut as it is softer material. After the ring is cut use both tools to pull the ring apart. This has worked very well for me in the Past. Joe Carter

[@lmellick]

Thanks for your comments!

[@jadcell3124]

Brave dovtor

[@traceysherman3744]

Dr. Mellick, on your previous string trick you worked from distal to proximal when wrapping the string..... this time you went proximal to distal???

[@lmellick]

Two different approaches by two different operators. I start proximally or close to the ring thinking I can squeeze the edema fluid distally where the finger is smaller or thinner. Starting distal might bring edema fluid up to the ring.

[@traceysherman3744]

gotcha thanks !!!!

[@lucyneveen7628]

Turned into Home Depot seminar🤣🤣🔨🔪🔧⛏⚒

[@junior48612]

Kkkkk esse deu trabalho de sair

[@trekgeek1]

That's basically what I was implying through engineer speak. Perhaps I should have been more clear. I agree completely with you. I think the actual cutting must be from the mechanical force of protruding bits on the cutting bit striking and breaking off bits of the ring.

[@ДИЛЯ-у1к]

Из какйстали сделано это кольцо

[@isisbenny404]

Do you guys have a dermal tool? It would get the job done much faster, you could still use that same metal shield fir the finger too.

[@rm1357]

Burro pra caralho KKKKKKKKKKK

[@Feldscher1039]

If I saw it correctly, both times the string was wrapped from the ring downwards. Shouldn´t the string be wrapped from below the joint upwards and given a minute or two to press fluids out of the finger as much as possible (hence the tight wrapping and elastic material)?

[@luizfernando3758]

PUTA Q PARIU DEVE TER DUIDO PRA PORRA

[@Hockeykid1515]

It’s so funny how the world works. I’m a carpenter. All these guys r probably light years smarter than me. But I could have got that off in probably half the time. They were pressing the grinding wheel down causing it to sieze up. You don’t need pressure let the wheel do the work

[@crazy-lh1wr]

I could have cut it off faster with a battery powered toothbrush. Damn just get a real grinder for God sake.

[@lmellick]

No, who makes them?

[@John-nl4lt]

Use the tool like your supposed to or buy something more powerful

[@katelynhamilton-picken4115]

you know best,when I get a ring stuck on my finger I found the pulling made it worse whereas turning as you gently pull it is a lot easier.thank you.Pi

[@alkhal6999]

والله انا قطعتو بالقطاعه ضليت سَـآعــهْْ هههههه

[@AshesFade]

The noise of the cutter was hilarious

[@shadesofbluee]

Couldn't you remove some of the excess fluid with a needle? When I ruptured the fluid sack in my left knee they stuck a huge needle in the side and pulled out four shot glasses worth of arthritic joint fluid. Don't see why the excess fluid in his finger could not be drawn out the same way.

[@lmellick]

Actually wouldn't work in this case.

[@hammerdown184]

I am a big guy much like this patient and i tend to get water retention did you ever consider treating his water retention vs cutting the monster ring? He def... looked like he was retaining water.

[@marcecabral8266]

The Blue One es un vídeo tan doleroso pero es lindo

[@JohnX1776]

It looks like you where lubing the tool, that is really key with cutting tools. :)

[@PBKIDSRGREAT]

Was the blade spinning counter-clockwise or clockwise

[@myrongainez7801]

why didnt you wrap from the distal end of the digit to proximal, as to push the edema or blood up instead of trapping it beneath the ring? Would that have made a difference?

[@lmellick]

Good question. My thought was the distal finger was the smallest and pushing the edema away from the ring was my goal.

[@drmdfdogsfmot61311]

I really enjoyed this and the other videos of yours that I watched. I believe Roberts and Hedges' recommends wrapping distal to proximal and then unwrapping proximal to distal. Probably wouldn't have a made a difference in this case though.

[@fnmedic]

Looks like something you might be able to make the local fire dept. do. They have the manpower and have to do some similar (although usually larger) extrications with industrial/manufacturing entanglements. Maybe you could sell it to the FD supervisors as training opportunities.

[@ding0925]

Doc, they make a tool in the auto industry that would work after the ring is cut ,They are alot tougher then the spreader pair in you kit. i see if i can get up a pic..

[@magicmike1122]

I had my wedding ring stuck and did the string trick. I used dental floss, along with dish soap to help. Got to the knuckle, had to start wrapping the finger again and continue. Finally came off!

[@makimoko]

Maybe the lubricant helps to reduce the friction between the sides of the blade and the sides of the cut groove, thus allowing a better rotation speed? I'm no engineer though.

[@numbnest4678]

I understand some tricks never work but wrapping it starting distally would get a better result as it would have pushed the fluid out of finger. Using elastics with some decreased temp would decrease swelling and edema.

[@granadajason]

The ring cutter needs a little more power- I know that the faster it goes, the more friction and heat it would produce- but those are controllable. A good powered rotary tool would chop right through that-

[@tylersullivan2898]

I had to cut one of these off in our ER two weeks ago. We didn't have the diamond wheel however so I just used a dremmel and took my time, still took about ten minutes

[@sundevilification]

Pitcher through a curve ball with that ring. Weight lifters are a medical device? I learn every day. Rats. Thanks to all for the efforts on this one. Page 2.

[@Mr-pz1sl]

This is a very intense video😱

[@jayytubetv928]

Why am I even watching this? At 1:00 am