急诊室的故事
ER
第二季
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急诊室的故事
ER S02E16
Part 2
March 14, 2020, 9:26 p.m.
They cut my shifts back again.
我可能也要去做兼♥职♥了
I may as well work part-time.
我一个月排班才八个
I'm down to eight shifts a month.
我已经在一家临时机构每天去做兼♥职♥了
I've been moonlighting as a per diem for a temp agency.
不过收入不错
Better money, anyway.
真的吗
Really?
嗯 加班 没有文书工作
Oh, yeah. Overtime, no paper work
看见苏珊了吗
Where's Susan?
她还没来
She hasn't signed in yet.
她有约
Appointment.
说要晚来一会儿
She said she was going to be late.
什么约
What kind of appointment?
县医院 请讲
This is county. Go ahead.
这里是92队
This is unit 92.
我们从火灾现场出发运送一个
We're en route from a residential building fire
20岁左右的小伙子
with a 20-year-old male
大面♥积♥二到三♥级♥烧伤
extensive second and third-degree burns.
现场还有很多伤者
Multiple victims at scene.
什么情况
What do we got?
重度烧伤患者
Crispy critters.
有多少
How many?
目前为止三个大人 两个小孩
Three majors, two minors, so far.
目前为止
So far?
还在往外救援
Still pulling them out.
全部送往你们那里
All coming your way, county.
大概四分钟到
Our ETA's four minutes.
我们会准备接诊
We'll be waiting.
兰迪 呼叫苏珊
Randi, page Susan.
让她马上过来
Tell her to get here soon.
通知烧伤科和本顿医生
Notify the burn unit and find Benton.
莉迪亚 确保我们这
Lydia, make sure that we have
有足够的烧伤宁和林格液
plenty of silvadene and ringer's lactate.
我讨厌处理烧伤
Man, I hate burn cases.
抱歉 我带了传呼但找不着了
Sorry. I know it's here somewhere.
需要用电♥话♥吗
Need to use the phone?
不用了 就是单位在找我
Ah, no. It's just my work trying to find me.
你在说家访的事
So, you were saying about the visit?
你的家访结果非常好
Your home visit went very well.
普尔林女士担心你在住院医生时期
Ms. Pearline's concerned about the hours
工作时间会太长
you're required to work during your residency.
是 我在减少工作时间
Yeah, I'm trying to cut back.
生物学亲缘关系领养
Biological relation adoptions
流程很简单
are simple procedures.
只要你不参加动物祭祀
Short of finding you in an animal sacrifice
我想不到什么理由会拖延你的申请了
I doubt anything could have slowed your petition.
很好
That's good news.
你找到姐姐了吗
Have you had any luck locating your sister?
我收到了一张旗杆市[亚历桑那州]寄来的圣诞贺卡
I got a christmas card postmarked from Flagstaff.
没有写寄出地址
No return address
电♥话♥公♥司♥也没有名单
and the phone company doesn't have a listing.
已经五个月了吧
It's been five months?
孩子父亲呢
What about the father?
我在报纸上登了启事
I put ads in the paper.
法官会中止他们的权利
The judge will terminate their birth rights
之后你的律师可以走申请领养手续了
and then, your attorney can have the adoption order entered.
就这么简单
That's it?
就这么简单 除了要应对一生的家庭作业和男朋友
Except for a lifetime of homework projects and boyfriends, yes.
20岁男性 穿着着火的衣服从大楼中逃出
20-year-old male, ran from building with clothes on fire.
大面♥积♥二级和三♥级♥烧伤
Extensive second- and third-degree burns
创伤一室
Trauma one.
没法进行静脉推注或量血压
Unable to run an IV or take BP.
四肢全部三♥级♥烧伤
Third-degree burns to all extremities.
颈动脉脉搏150
Weak carotid pulse at 150.
卡萝 叫苏珊下来
Carol, get Susan down here.
她不回传呼
She won't answer her page.
大楼起火了 制毒工厂
Building caught on fire. Meth lab.
高压锅和化学燃烧器爆♥炸♥
Pressure cookers and chemical burners just blew up.
六辆消防车 三辆卡车
Six engines, three truck companies.
我们把他拖出来就跑了
We grabbed this guy and just ran.
准备 抬
Easy now. And go.
做血气分♥析♥和一氧化碳水平分♥析♥
Let's get a blood gas and a CO level.
血常规 生化二十项 便携式胸透
CBC, Chem 20, portable chest.
天呐
Oh, god.
准备两个剔除盘 卡特 道格
Two cutdown trays. Carter, Doug.
剔除什么
Cut down where?
股骨剔除 你负责右边
Femorally. You take the right.
十号♥刀片 弯钳
Number 10 blade, curved kelly.
我要进行快速诱导插管
I'm going to do an RSI.
脉搏血氧65%
Pulse OX is 65% on 100% O2.
脉搏144 微弱
Pulse 144, weak and thready.
别忘了插尿管
Don't forget the catheter.
输液
Thread the IV in.
直接扎进血管吗
Directly into the vein?
那栋大楼里还有孩子
Children were in that building.
几个孩子
How many kids?
至少三个
At least three.
47号♥在消防车之前到达现场
47 got there before the engine companies.
他们直接进去救孩子了
They went in there after them.
维克 10毫克
Veck. Ten migs.
-47号♥ -维克
- Unit 47? - Veck!
二楼坍塌了
Second floor collapsed.
很多消防员都困住了
Lots of firemen in trouble.
7.5 施加环状软骨压力
7.5, apply cricoid pressure.
-他们出来了吗 -谁
- Did they get out? - Who?
47号♥
47.
莉迪亚 7.5
Lydia, 7.5, please.
-应该出来了一个人 -天呐
- I think one did. - Oh, god.
谁在47号♥
Who's 47?
谢泼德和梅伦德斯
Shepherd and Melendez.
好了
Got it.
又来一个 八岁 快
Another one. Eight-year-old. Hurry.
-道格 你来接 -好
- Doug, you take it.- Okay.
-谁给卡萝打个电♥话♥ -我来打
- Somebody tell Carol. - I will.
八岁女孩
Eight-year-old girl
全身18%二级烧伤 在手臂 背部和腿上
18% second-degree, arms, back and leg
大腿三♥级♥烧伤
and third-degree on her thigh.
呼吸如何
How's the airway?
鼻毛烧焦 干咳 呼吸急促
Singed nasal hair, non-productive cough and short breath.
血压110/70 脉搏112 呼吸24
BP 110/70, pulse 112, resps 24.
两个点滴都是生理盐水
Two IVs going normal saline
面罩供氧 流速10升
O2 ten liters by mask.
疼 疼
It hurts! It hurts!
你会没事儿的 亲爱的
You'll be okay, sweetheart.
我想要妈妈
I want my mommy.
我们知道她父母在哪吗
Do we know where her parents are?
不清楚
Not a clue.
好 一起
All right, here we go.
听我数
On my count.
准备好了吗 一 二 三
Ready? Here we go. One, two, three.
测量血液中一氧化碳含量
Get blood gas with carbon monoxide level
血常规 凝血酶原时间 凝血激活酶时间
CBC, PT, PTT,
生化二十项 胸透 尿检 尿肌红蛋白
chem 20, chest X-ray, urinalysis and urine myoglobin.
卡萝 谢泼德和劳尔可能被困火场了
Carol, shep and Raul may have got caught in the fire.
什么
What?
47号♥最早响应 有人看见他们进去救孩子
47 was the first responder. Seen went after some kids.
其中一人可能被困火场
One of them might have gotten caught inside.
谁
Which one?
我不知道
I don't know.
可能喉部烧伤了
We may have a laryngeal burn here.
给我光纤喉镜
Get me fiber optic laryngoscope.
你认识第134站47号♥车的急救员吗
急诊室的故事
ER
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