芝加哥急救
Chicago Med S01E16
Part 1
Jan. 25, 2020, 11:24 a.m.
这段时间就不要健身了 好吗
And easy on the CrossFit for a while, okay?
-好了 -谢谢
- Okay. - Thank you.
刚清理了第三治疗室 简直翻了个底朝天
Just cleared Treatment 3. Just got to turn it over.
-好 -老天 这就已经来了吗
- Sure. - Man, we're up again already?
-看起来是的 -怎么回事
- Looks like it. - What's going on?
-他们是谁 -老大哥
- Who are they? - Big brother.
-戴上 -JCAHO
- Up. - JCAHO.
他们在给我们惊喜视察呢
Yeah, they're doing a surprise site survey.
-JCAHO是谁 -联合委员会
- Who's JCAHO? - The Joint Commission.
他们给医院业绩做评估
They rate the performance standards
并且给出证书证明
of hospitals and certify them.
迄今为止 我们的评价都比较积极
So far, JCAHO's reports have been positive.
所以需要继续保持
So let's keep it that way.
遵守礼仪 保持微笑
Stick to protocols and with big smiles.
崔医生 今天我们需要
Dr. Choi, we're gonna need
拿出你海军式的纪律规范
some of your Navy-inspired discipline today.
抱歉 今天我去帮助急救员
Sorry, I'm with the paramedics today.
住院医师要跑路喽
Resident ride along.
至于纪律规范 你那是变着法儿说我这个人古板吗
And discipline, that a nice way of saying I'm a tight ass?
没错 很古板
Oh, yes. Tight.
我可没说
I didn't say that.
接待那些大佬
And, uh, getting those docs in line,
不是住院医师主任的活吗
isn't that u202dthe chief resident's job anyway?
真有意思 执行规章制度的人
Wonderful, the guy enforcing the rules
也是一直破坏它们的人
is the one who's always breaking them.
没错
Yeah.
祝好运
Good luck with that.
急救一队到急救室
Code One team to the ED.
-什么情况 -内森·克莱
- What do we got? - Nathan Clay.
58岁男性 车祸
58-year-old male. "Peeds" versus auto.
12级昏迷 生命体征稳定
GCS 12. Vitals stable.
左上臂可见畸形
Gross deformity to the left upper arm.
这边
Right in here.
他说胸和背部疼
He's complaining of chest and back pains.
克莱先生 能听到我说话吗
Mr. Clay, can you hear me?
克莱先生 听我口令
Mr. Clay? On my count.
一 二 三
One, two, three.
中心线和静脉插管
Central line and a CVC catheter.
-马上 -气道完好
- Right away. - Airway's intact.
呼吸音两边都很清晰
Breath sounds clear bilaterally.
左胸柔软
Tenderness in the left chest
胸椎也一样 怎么回事
and thoracic spine. What happened here?
他和妻子在密歇根大道散步
He's walking with his wife on Michigan Avenue.
突然失控 对着她发疯
Suddenly flips out, starts wailing on her.
几个撒马利坦会的人帮助了他们
A couple of Samaritans jumped in to help out.
他直接冲到了马路上
He takes off right into traffic.
因果报应啊
Score one for, uh, karma.
12导联心电图 胸透
12-lead EKGs, chest x-rays,
胸腹及骨盆CT
CT of the chest, abdomen, and pelvis,
检查脊柱传导
with recons of the TLS spine.
-马上 -别碰我
- On it. - Leave me--no.
别碰我 我没事
Leave me alone. I'm fine.
劳拉·克莱 55岁
Laura Clay. 55-year-old female.
-15级昏迷 -我没事
- GCS 15. - I'm fine.
我要找我丈夫
I need to get to my husband.
夫人 夫人
Whoa, whoa, whoa. Ma'am, ma'am, ma'am.
-好 -心搏过速
- Okay. - Heart rate's tachycardic.
这都是我的错
This is all my fault.
我摔倒的时候用手撑地了 脊柱没摔到
Look, I blocked my fall with my hand, not my C spine.
我的神经没有损伤
I'm neurologically intact.
专业术语 你是医生吗
Technical. Are you a doctor?
-没错 我是 -劳拉 求你...
- Yes, yes, I am. - Laura! Please--
-罗德斯医生 -亲爱的 我在
- Dr. Rhodes! - Honey, I'm here.
-夫人 你不能进去 -我在
- Ma'am, stay right there. - I'm right here.
他们人太多了
There are too many of them!
-我在 亲爱的 -救我
- I'm here, my love! - Help me!
拿束带来 2单位咪达锉伦还有5单位氟哌啶醇
I need restraints. 2 of Versed and 5 of Haldol.
-太多了... -不 不能用氟哌啶醇
- There are too many of th-- - No, not Haldol!
用喹硫平 他没有虐待倾向
Quetiapine. He's not abusive.
他有路易体痴呆症
He has Lewy Body Dementia.
等等 把氟哌啶醇去掉 拿25单位喹硫平
Wait, scratch the Haldol. 25 of quetiapine.
-劳拉 -没事的 亲爱的
- Laura! - It's all right, my love.
路易体是什么
What the hell's Lewy Body?
轻度痴呆
Debilitating form of dementia.
介于阿兹海默和帕金森症之间
Alzheimer's meets Parkinson's.
撞得挺厉害
He took a pretty good whack.
胸部淤血 左边第一根肋骨骨折
He's got a chest bruise, left first rib fracture,
肱骨近端骨折
proximal humerus fracture.
-各项数据怎样 -都挺好
- How are his labs? - It's all good.
钙水平上升了
Calcium was elevated.
我怕他有肾结石的危险
I suspect he'll develop a kidney stone down the road,
很可能之前出现过
but it's likely he's had a few before.
心脏做过手术吗
Prior heart surgery?
据说是心脏四重搭桥手术
Says it was a quadruple bypass.
五年前在西北医院那边做的
Had it done at Northwestern five years ago.
-他还记得这么清楚吗 -对 他很清醒
- He remembers the details? - Yeah, he's lucid.
差不多 心电图也正常
Somewhat. All right, EKG is normal,
但因为之前的心脏搭桥手术
but because of the prior heart surgery,
我每隔几小时再查一遍
I'm gonna repeat it every few hours.
交给你了
He's all yours.
克莱先生
Mr. Clay?
克莱先生 我是查尔斯医生 你感觉如何
Mr. Clay, I'm Dr. Charles. How are you feeling?
我妻子 劳拉 她在哪
My wife, Laura, where is she?
她在接受治疗 一会儿就过来
She's being treated right now, but will be in shortly.
我又伤了她对吗
I hurt her again, didn't I?
她不该过这样的生活
This isn't the life she deserves.
克莱先生
Mr. Clay?
克莱先生
Mr. Clay?
见鬼 你还网恋 是吗
Damn, you got the online thing down, huh?
-曾经啊 -她叫什么
- There was a time. - Yeah, what's her name?
别问了 名花有主
Easy. She's taken.
薇琪 退伍军人事务处的医生
Vicki. Doctor at the VA.
老天
Oh, man.
你名草有主
There are so many female paramedics
有多少小护士的心要伤透了
who are gonna be sorry to hear you're off the market.
还有一些帅哥也一样
Couple guys, too.
那你可得让他们悠着点
Well, you let 'em down easy for me.
好
All right.
你确定坐后面没问题吗
You sure you gonna be okay back here?
我们其实可以让德斯蒙德去后面坐
'Cause we can just throw Desmond in the back.
没问题
Eh, I'm fine.
急救车就像悍马 哪里有地方就坐哪里
Ambo's like the Humvee. You sit where there's room.
-不用担心舒适问题 -好啊
- Comfort's not a factor. - Well, good.
那今天就好过了
This day's gonna go by quick then.
61号♥救护车 40岁男性在家中倒下
Ambo 61, 40-year-old male down in his home.
布鲁姆利大街222号♥
222 Bromley Avenue.
出警对象有某种下肢问题
Some kind of lower extremity insult.
很痛苦 可能被困住了
He's in severe pain, possibly trapped.
收到 总部 61号♥救护车出动
Copy Main. Ambo 61 responding.
我们出发
All right, we're on!
没道理啊
It doesn't make any sense.
邦莫很小的时候我就开始养了
I've had Boomer since he was a puppy.
他非常忠诚 我离开房♥间一会儿
He's super loyal. I leave the room for a second,
他就会来找我
he's looking for me.
我也养过那样的狗
I had a dog like that.
他会小咬一口 但这次纯粹就是攻击了
He might nip a little, but this was a full-on attack.
就我的经验来看 狗的行为无法预计
In my experience, dogs can be unpredictable.
就算是很友好的也一样
Even really friendly ones.
有时候狗痛苦的时候也...
Sometimes if a dog's in pain, though, he--
他没有
He wasn't.
芝加哥急救
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