急诊室的故事
ER
第二季
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急诊室的故事
ER S02E18
Part 3
March 14, 2020, 9:27 p.m.
I got to pee.
奥马尔
Omar!
我要尿尿
Got to pee.
尿吧 奥马尔 你的膀胱里有尿根导管
Go ahead and pee Omar. There's a tube in your bladder.
急救人员五分钟后到
Paramedics five minutes out,
驾车枪击
drive-by shooting.
谁在创伤室值班
Who's on call for trauma?
是本顿 你想让我给他打电♥话♥吗
Benton. You want me to call him?
不 给胸科打电♥话♥
No. Call thoracic.
胸科吗
Thoracic?
听到了吗 给摩根斯坦打电♥话♥
Do you heared me? Call Morgenstern.
告诉他我们现在不再接收创伤患者
Tell him we are closing to trauma now.
电解质检测结果呢
Lytes?
还没出来
Not back yet.
今晚化验室是怎么了
What's wrong with the lab tonight?
和我们一样 马克
Same thing that's wrong with us, Mark.
病人太多了
There's just too many patients.
好吧
Okay.
我们假设他有一项未检测到
Let's say he has a gap.
甲醇 尿毒症
Methanol, uremia
糖尿病酮症酸中毒
D.K.A.
会是乙二醇吗
Ethylene glycol?
你认为他喝了防冻剂吗
You think he drank antifreeze?
需要检测一下这一项
Got to rule it out.
好吧
All right.
拿个伍德灯来
Get a Wood's lamp.
里面真的卡住了
It's really jammed in there.
啥
What?
里面真的卡住了
So it's just really jammed in there.
卡特 你在干嘛
Carter, what are you doing?
耳道内有异物
Foreign body in the canal.
让他躺下
Have him lie down.
你知道是什么吗 先生
Do you know what it is, sir?
啥
What?
一颗珠子
A bead.
卡特 你在急诊室修行得还开心吗
So, Carter, you having fun paying your penance in the E.R.?
我已经完成外科实习了
I'm off surgical service.
现在在急诊室值夜班
I'm working nights in the E.R.
为什么不开心
What's not to be happy about?
还是那句话 总比毕不了业要强
Still, it is better than not graduating.
我觉得希克斯医生可能会让我停职
I thought Dr. Hicks might suspend me.
能这样做的话她早做了
Well, I mean she would if she could have.
真不敢相信我会那么蠢 居然在当班的时候
I can't believe I was that stupid, sneaking off for
溜出去喝酒
drinking on call.
这话我信 因为你是医学生
I can. You're a medical student.
好吧
Hmm.
强力胶水吗
Super glue?
对 只能碰珠子
Yes. Touch the bead.
碰到皮肤你就死定了
Hit the skin, you're in trouble.
-别动 -别动
- Don't move! - Don't move!
格林医生
Dr. Greene,
急救人员来了
paramedics are here.
知道了
Got it.
她几岁了
How old is she?
18个月
18 months.
右侧大腿被击中两抢
Two gunshots to the right upper leg,
贯穿伤
through and through.
血压偏低 无法输液
Hypotensive. Can't get a line.
没事了 宝宝
It's OK babe.
警♥察♥抓住了那个开枪的男孩
Cops got the boy who did it.
一名十四岁的黑人男孩
Black kid, 14 years old.
将他击毙 我实在同情不起来
Shot him dead. Can't say I'm sorry.
警♥察♥不介意枪杀一个黑人孩子
Cops never mind shooting a black kid.
他也不太介意打伤这一个 对吗
And he didn't much mind shooting this one, did he?
检测血常规 交叉配血两个单位
C.B.C., type and cross for two.
准备一个单位的O型阴性血
Get a unit of O-neg.
右脚冰冷 无脉搏
Right foot's cold, no pulse.
是股动脉出了问题
That's the femoral artery.
我去准备X光
I'll call for X-rays.
吉马斯弟针 用于骨髓活检的环钻针
16号♥吉马斯弟针头
16-gauge Jamshidi.
百分之一的肾上腺素
One percent with epi.
脉搏微弱
Faint pulse.
监护仪无反应
Dynamap's not reading.
注射120毫升生理盐水
120 of saline.
行 把这个装进试管
Okay. Fill these tubes.
哈蕾 呼叫耐兹利
Haleh, page Netzley.
马利克 你带她去手术室
Malik, you gonna take her up to O.R.
明白
Got it.
格林医生 关于不再接收创伤患者
Dr. Greene, about closing to trauma--
摩根斯坦说这绝不可能
Morgenstern gave the big n-o.
好吧 帮我给他打电♥话♥
Yeah. Well, get him on the phone for me.
他又回去做手术了
Well, he went back up to surgery.
好吧 我去找他
All right, well, I'll find him.
马克 奥马尔你猜对了
Mark, bingo on Omar.
好 你们能行吧
Okay, you got it?
妈妈
Mommy.
爸爸
Daddy.
是乙二醇
Ethylene glycol it is.
这是什么
What's that?
防冻剂
Antifreeze.
会令肾脏迅速衰竭
Get renal down here stat.
给他静脉输乙醇
Let's give him I.V. ethanol.
我们没有乙醇
We don't have any.
什么
What?
我去找过了
I checked.
药房♥没有
Pharmacy's out.
圣卢克医院会给我们送些来
St. Luke's is sending us some,
但至少一小时后才能送到
but it won't be here for another hour.
大厅的购物车里有瓶波旁威士忌
There's a bottle of bourbon out in that shopping cart in the hall.
波旁威士忌
Bourbon?
口服120毫升
120cc oral loading dose.
每小时口服一次 一次30毫升
30cc's P.O.Q. one hour.
否则 他会有脑损伤和肾衰竭
Otherwise, he's got brain damage and renal failure.
就用波旁威士忌
Bourbon shooters it is.
二号♥房♥昏迷患者的检测结果
The labs are finally back
终于出来了 是糖尿病酮症酸中毒
on that coma in two. It's D.K.A.
输胰岛素 每小时每公斤体重0.1个单位
Start an insulin drip, 0.1 per kilo per hour.
-沃提夫人 -她是谁
- Mrs. Votey. -Who?
那位空手道女士 她又出现了一次短暂性脑缺血发作
The Karate lady, she had another T.I.A.
她应该接受治疗
She's supposed to be admitted to medicine.
是 但兰道医生说让她出院
Yeah, but Dr. Randall said to discharge her.
让她出院 他疯了吗
Discharge her? Was he nut?
紧急呼叫他 叫他现在来
Page him 911 and tell him to get in here now.
给你 吓我一跳
Here you go. Whoa!
谁让这狗进来的
Who let this dog in here?
谁试着把它从她身边带走 它就咬谁
Try and take it away from her and it bites you.
马克 四诊室的呕吐患者还在
Mark, that puker in four is still at it.
给他注射10毫升丙氯拉嗪和1升生理盐水
Give him ten of compazine and a liter of saline.
内森先生在第五诊室
Mr. Nathan at five...
摩根斯坦终于完事了 他也这就过来
Morgenstern finally made it, he is up of the fun.
我的火鸡三明治呢
What about the turkey sandwich?
该死 对不起 我忘了
Ah, damn. Sorry, I forgot.
我马上去拿给你
I can get it almost immediately.
这是谁
Who are we talking about?
五床的内森先生 白血球计数很高
Mr. Nathan in five, high white count.
体温38.3 左下腹持续疼痛
Temp's 101, still has left lower quadrant pain.
可能是憩室炎 让他不要吃喝
Probably diverticulitis. Make him N.P.O.
给他打氨苄西林 庆大霉素和甲硝哒唑
Give him amp, gent, flagyl
然后做腹部检查
and get an abdominal series.
对 带他来吧
That's right. Bring him in.
急诊室的故事
ER
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