What's up guys? So if you're new to the YouTube channel or the podcast, my name is

Gray Phelps and an emergency medicine physician assistant here at med geeks

were extremely passionate about teaching and the advancement of the

medical community. So with that said today I want to teach you briefly about tetness.

Now if you learn in any way similar to me you probably hate memorizing long lists and it's personally I find it to be rather impractical.

So pay close attention just for the next couple of minutes and I'll teach you how to easily

remember who needs to get a tetanus prophylaxis shot and who does not need to get tetanus when they get

injured. So quickly why do we even administer tetanus immunizations in the first place?

Well, since the spores of chustridium tetany are found widely in the soil and they're also found in the gut of mammals.

It's virtually impossible to eradicate all these spores from the natural environment.

So we can't get rid of them.

So I want you to picture these spores

of Kistrudium tetany just hanging out there in the soil.

They're waiting for you to walk around barefoot,

cut yourself, and then gain entry in to your skin through the damaged tissue.

Once they gain entry they can then travel to your spinal cord and brainstem by retrograde axonal

transport, secrete a tetanus toxin, and produce an overall net result of increased muscle tone,

painful spasms, and generalized autonomic instability.

However, you need not to worry too much because almost all of the universal vaccinations that we've done in

children with the tetanus toxoid, the incidents of tetanus in the United States and other developed

countries has dropped dramatically. For example, the CDC reported that there was other developed 2008. However, in undeveloped countries across the world, it's estimated that approximately

1 million cases of Tetanus occur worldwide each year and they cause up to 300,000

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