急诊室的故事

ER S01E25

Part 1 Nov. 22, 2019, 11:59 a.m.

重焕生机
卡特
Carter?
卡特卡特醒醒
Carter? Carter, wake up!
头部枪伤患者马上就到
GSW to the head coming in.
本顿在手术格林在处理一个心肌梗塞
Benton's in surgery and Greene's got an MI.
-卡特 -干嘛
- Carter! - What!
快点
Let's go!
天哪
Oh, God.
把一把0.375口径的手♥枪♥放到嘴里扣了扳机
Put a .357 in his mouth and pulled the trigger.
扎了两个大口径静脉通路 15升氧气
Two large bore IVs, 15 liters O-2,
血压80/50 脉搏56
BP 80 over 50, pulse 56.
-昏迷指数10 已发绀 -准备好一二三
- GCS 10. He's cyanotic. - Ready? One, two, three.
失血至少一升
Blood loss at least a liter.
-本顿在哪里 -还在处理那个刀伤患者
- Where's Benton? - Still up with that knife wound.
我们这里需要医生
Hey, we need a doctor in here.
-呼吸困难 -没有灰质
- He's hard to ventilate. - No gray matter.
瞳距正常反应迟缓
Pupils mid-range and sluggish.
我以为你已经走了
Thought you were out of here.
今天是最后一天
This is my last day.
-他的脸呢 -在餐厅墙上
- Where's his face? - Left it on the dining room wall.
-老天呐 -请陪她去休息室
- Oh, sweet Jesus. - Help her to the waiting room.
-天哪天哪 - 夫人这边请
- Oh, God. God! - Ma'am, please.
我以为他不知道我把枪放哪了
I didn't think he knew where I kept my gun.
血氧含量70 需要插管
Pulse ox 70. He's gonna need an airway.
你上过手我只旁观过
You've done it. I only watched.
马上找人下来
Get somebody down here, now.
-找谁 -逮个穿白大褂的来
- Who? - Tackle anyone in a white coat.
我希望医疗事故保险里包含了这个
Oh, boy. I hope medical malpractice covers this.
来吧 7.5号♥插管抽吸
OK. 7.5 ET tube. Suction.
不行不行我什么也看不到上氧气
No, no. Damn it, I can't see a thing. Bag him.
二氧化碳60 血氧55 PH值7.20
PCO-2's 60, PO-2's 55, PH is 7.20.
呼吸音减弱
Diminished breath sounds.
人都去哪了
Where the hell is everybody?
他血氧过低需要做气管切开
He's hypoxic. He needs a crike.
我做不来
I can't do it.
真的做不来
Really, I can't.
总得有人做点什么吧
Somebody do something.
好吧去拿气切包
All right, get the crike tray.
-达唑仑还是万克松 -不行不行
- Versed? Norcuron? - No, no, no, no, no, no.
如果麻醉了我又没有开通气管他会死的
If I paralyze him and don't get the crike he dies.
手术巾手术巾
Drape! Drape!
有没有人能给我一块消毒手术巾
Can someone please hand me a sterile drape?
这里是软骨膜吗横切还是竖切
Is that the membrane? Horizontal or vertical?
横切不不先竖切皮肤开一个切口
Horizontal. No, vertical skin incision first.
然后横切软骨膜我确定
Then cut horizontally through the membrane. I'm sure.
甲状腺肯定在这附近
Thyroid's gotta be in there somewhere.
-行吧横切 -来了交给我吧
- Okay, horizontal. - All right, give me the bullet.
十四岁男性
Fourteen-year-old male
往自己嘴里开了一枪
with self-inflicted GSW to the mouth.
已经输血四个单位血压70/50
He's had four units. BP's 70 over 50.
脉搏54 尝试插管
Pulse is 54. Tried to intubate,
但太多血液和组织阻塞气道
but there's too much blood and tissues clotting his airway.
我正打算进行环状软骨切开术
I was just about to start a cricothyroidectomy.
好的好的
All right, all right.
有没有麻醉
Did you paralyze him?
-没有 -不错不错
- No. - Good boy. Good boy.
好了
All right.
插管快快
Get a hook. Come on. Come on.
6.0气管内导管快点
6.0 trach tube. Let's move.
联♥系♥放射科
Call Radiology,
告诉他们我们马上过去做CT
let them know he's on his way with CT.
上氧气快快
Bag him. Come on, let's move.
包扎止血
Let's pack it, stop all this bleeding.
-你刚才打算做气管切开吗 -是的
- So you were gonna do the crike? - Yeah.
-行马利克 -在
- All right. Malik? - Yo?
抬头和颈
Get Head and Neck out of bed.
-今天有他们忙的 -好的
- This is their lucky day. - Got it.
-不对吗 -对得很
- Wrong choice? - Nope.
快点动起来
Alright. Come on, people.
转移过去快快
Let's get him up. Let's get him up. Move.
最后一天了是吧
Last day, right?
记得交工作服和证件
Don't forget to turn in your lab coat and I.D.
交了就可以拿回押金了
You get your deposit back.
克洛伊你该洗衣服了
Chloe, you need to do the laundry.
洗衣液在柜子里
The detergent's in the closet.
天哪克洛伊能不能求你有点反应
Oh, my God. Chloe, can you hear me, please?
她总算睡着了
She's finally asleep.
你又一整晚没睡吗抱歉
Were you up all night again? I'm sorry.
天希望这雨在婚礼前能停
Oh, gosh, I hope it stops raining before the wedding.
我觉得我做不到
I don't think I'm gonna make it.
你可以的克洛伊你可以的
Yes. Chloe, yes you are.
-我不够强大苏西 -克洛伊你做得非常棒
- I'm not strong enough, Susie. - Chloe, you're doing great.
我已经晚了拜托记得洗衣服
Listen, I'm already running late. Please do the laundry.
洗衣机在地下室
The machines are in the basement.
婚礼五点开始
The wedding starts at five,
所以我三点得回来
so I have to be back here by three
开始做准备
to start getting ready, okay?
再见小不点
Bye, little one.
-三点哦 -三点知道了
- Three o'clock. - Three, yeah.
单方事故没系安全带
Single car TC, no seat belt.
抱怨胸痛已开始静脉滴注
Complaining of chest pain, IV started.
去跟她见一面告诉她你的感受
Go see her. Tell her how you feel.
-那我也得先知道我的感受是什么 -哦
- I have to know how I feel. - Oh.
看吧你这反应
Yeah. "Oh."
-可能对所有人都最好 -除了杰克
- Maybe it's for the best. - Except for Jake.
-还有瑞秋 -没错
- Yeah, and except for Rachel. - Yes.
-这是谁 -鲜肉
- Who are they? - Ah, new meat!
医学院学生这边孩子们跟我来
Medical students. This way, children. Follow me.
马克创伤一室有个酒醉翻车
Mark, a drunk MVA in Trauma One.
卡特自杀未遂患者的母亲还在楼下
Carter, the attempted suicide's mother isstill down here.
把她送到楼上手术等候室去
Get her up to the O.R. waiting room.
-他怎么样 -就告诉她在手术中
- How is he? - Just tell her he's in surgery.
-皮特你母亲的事很遗憾 -多谢
- Peter, I'm sorry about your mother. - Yeah, thanks.
卡特中午之前把课程评估交给我
Carter, I need your course evaluation by noon.
-我的什么 -课程评价
- My what? - Course evaluation.
你对急症室外伤处理实习的评价
Your assessment of your ER trauma rotation.
我还能给你打分啊
I get to grade you?
从罗兰多那要表格
Just get the form from Rolando
放到希克斯医生的信箱里就行
and put it in Dr. Hicks' box.
-他在开玩笑吗 -没
- Is he joking? - No.
苍天有眼啊
Oh, there is a God.
脉搏紊乱 120 呼吸36
Pulse, thready 120. Resp 36.
她休克了血压70/50
She's in shock. BP 70 over 50.
患者撞上了一辆停着的车没系安全带
Hit a parked car. No seat belt.
她那辆别克方向盘都变形了
Bent the steering wheel of a Buike.
-伤者名叫邦妮柯蒂斯 -无头部外伤迹象
- Name's Bonnie Curtis. - No sign of head trauma.
脉搏血氧只有85 血糖正常 110
Pulse ox is only 85. Blood glucose is normal at 110.
邦妮邦妮你知道你在哪吗
Bonnie? Bonnie, do you know where you are?
-天她喝醉了 -这下可好
- God...She's drunk. - Oh, yeah.
-我想抽根烟 -邦妮知道你在哪吗
- I need a cigarette. - Bonnie, do you know where you are?
谁给老娘拿根烟来
Somebody get me a damn cigarette!
做血常规血液生化七项
CBC, Chem-7,
-心肌酶心电图 -快
- cardiac enzymes, EKG. - Now.
-酒精浓度呢 -测再查她的胸部和颈椎
- Blood alcohol? - Sure. Get a chest and C-spine now.
"在该住院医师的帮助下
"The resident helped you
你得以胜任手术的操作"
achieve competency with procedures."
他是帮我了加四分
Yes, he did. That's a four.
"该住院医师在答疑解惑的时积极配合"
"The resident made himself available to answer questions."
-没有给两分吗 -是我的话只给一分
- No. Two? - I'd go for one.
一分有点太不给面子了
One really seems kinda harsh.
我们可是在给本顿打分