善缘医院（2017）

She needs help.
并且她得到了
And she has it.
在一所真正的医院
In a real hospital.
不是某个偏僻的乡下之所
Not some place in the back of beyond,
被一个很显然有着上帝情结的医生治疗
being treated by a doctor who clearly has a God complex!
Mrs Smart有严重的胸腔感染
Mrs Smart has a severe chest infection.
她不适合转院 更别说飞行了
She is not fit to be transferred, let alone to fly.
我想应该是我来做判断
I think I should be the judge of that.
能为我做个深呼吸吗 如果你可以的话
Take a deep breath for me, if you can.
深呼吸 亲爱的
Deep breath, love.
谢谢你
Thank you.
我觉得时间不多了
I don't think it'll be long now.
我知道
I know.
你想回家吗
Do you want to go home?
拜托了
Please.
这些日子以来 家在哪里呢
Just where is that these days?
告诉我
Tell me.
你在这里生活了多久
How long have you lived here?
久得足够让我知道自己归属何处
Long enough to know where I belong.
正是
Snap.
Maggie患有肺炎 她的氧气水平非常低
Maggie has pneumonia. Her oxygen levels are low.
所以现在经历飞行是极其危险的
So a flight now would be extremely dangerous.
但也不是不可能
But not impossible?
你母亲已经濒临死亡了 Debbie
Your mother is dying, Debbie.
作为医生 我们可以助她优雅和有尊严的死去
As doctors, we can help her do it with grace and dignity
或者也能让她遭罪直至最后
or we can make her suffer right through to the end.
我知道我更希望的是哪个
I know which I would prefer.
可惜 这不是由你决定
Well, it's not your decision.
我们是她的家人 这取决于我们
We're her family. It's down to us.
我恐怕你错了
I'm afraid you're wrong.
我的职责是维护病人最大的利益
My duty is to act in my patient's best interests.
所以我很抱歉 但我不会放她走
So I'm sorry, but I won't release her.
这种情况下不会的
Not like this.
她已经非常清楚地表明过心愿了
She's made her wishes perfectly clear.
可是她女儿通知我说Mrs Smart
And yet her daughter informs me that Mrs Smart
已经同意医疗遣转了
has already agreed to medical evacuation?
但在适当地重症监护下这是可以完成的
And these things are possible with proper critical care.
但是残忍♥又不体面
But brutal and undignified.
正是 我们要对她负责 而不是她的家属
Exactly! We have a duty to her, not to her family.
我要对医院负责
And I have a duty to the hospital.
我们请不起律师
We can't afford lawyers.
每个投诉都会让我们负担不起
Each complaint costs us money we don't have.
我已经决定了
I've already made my decision.
我要驳回 就这一次
And I'm going to overrule it, for once.
她要回英国
She goes back to England.
如果需要填表就我来 如果必要的话
I'll sign the form myself, if necessary.
怎么了
What's up?
上帝啊
Christ.
这里有个医生
她是善缘医院的医生
She's a doctor from the Good Karma.
停 够了
Stop! Enough!
- 有人需要帮助吗 - 有的 有的
- Has anyone called for help? - Yes, yes.
好 我需要检查每个伤者
Good. I need to see everyone who's injured.
一次一个 每个人都会得到帮助的
One at a time. Everyone will be helped.
好吗 很好
OK? Good.
怎么了
Yes?
有一场车祸
There's been a crash.
一辆去往科钦的巴士侧翻了
The bus to Kochi is on its side.
至少还有其他三辆车涉及其中
There are at least three other vehicles involved.
多起伤亡 大部分伤者会到我院来
Multiple casualties. The bulk will come here.
准备好手术室 确保心脏复苏装备好
Get theatre ready. Make sure resus is fully equipped.
然后我们需要确切完全的伤亡人数
Then we need casualty cleared completely.
病房♥那边也是一样 所有能行动的人 都现在出发
The same goes for the wards. Anyone who can leaves now.
Varma医生会带队去现场
Dr Varma will lead the field team.
动起来
Fonseca医生 我觉得你应该知道
Dr Fonseca, I thought you should know.
我在Walker医生离开前跟她谈过话
I spoke to Dr Walker before she left.
Ruby那时正要前往科钦
Ruby was heading to Kochi.
- 有她的消息吗 - 没有
- Have we heard from her? - No.
Varma医生
Dr Varma?
不管什么情况 严格遵守分诊原则
Whatever the situation, strict triage applies.
最严重的最先救治 没有例外
The sickest come first, no exceptions.
你能告诉我哪里疼吗
Can you tell me where it hurts?
我需要你的围巾
I need your scarf.
只会疼一下 好吗
This is only gonna hurt for a second, OK?
Ruby 这里需要你
Ruby? Need you here.
我需要用什么东西作为夹板来固定
I need something to use as a splint and to secure it with.
我需要牵引
I need some traction.
来吧
Come on.
没事的 有我在 去吧
It's all right, I've got it. Go on.
嘿 这里
Hey. Here.
- Vijay在哪 - 我不知道
- Where's Vijay? - I don't know.
他和我在一起 Vijay
He was with me. Vijay!
我会找到他 你就待在这 好吗
I'm gonna find him, all right? Just stay here, OK?
Vijay
Vijay?
Vijay
Vijay?
嘿 Vijay
Hey, Vijay?
Vijay
Vijay?
噢 天哪
Oh, God.
Vijay 不不不
Vijay, no. No, no, no.
嘿
嘿 是我
Vijay
Vijay?
妈妈
Mummy!
把他盖起来吧
Cover him up.
你还好吗
You OK?
还好 走吧
Yeah. Yeah. Go, go.
- 有多少人在车上 - 我不知道 太多了
- How many on the bus? - I don't know, too many.
Walker医生
Dr Walker?
Ruby呢
Ruby?
是啊 她很好 在车里
Yeah, she's fine. In the bus.
他被困住了 很严重
He's trapped. It's serious.
心动过速 像是严重的胸腔内伤
Tachycardia, likely severe chest injury.
可能是腹部创伤 给我你的听诊器
Possible abdominal trauma. Give me your stethoscope.
好
Ok.
坚持住 Vijay
Come on, Vijay.
- 怎样 - 左部没有空气
- Well? - No air on the left.
- 血胸或张力性气胸 - 要减压
- Blood or a tension. - Decompress it.
- 野外胸廓切开术 - 在这里?
- Field thoracotomy. - Here?
如果是血胸 他会大出血而死
If it's a haemothorax, he'll bleed out and die.
如果是气胸 他会心跳停止 我们别无选择
If it's a tension, he'll arrest. We have no choice.
更深点 用手指去摸索
Deeper. Sweep with a finger.
确保它保持张开
Make sure it stays open.
抱歉 Vijay 这会很疼
- 啊 - 他被困住了
- Aargh! - He's trapped.
我们需要把他送进医院 这很重要
We need to get him to hospital - - it's critical.
Vijay Vijay
Vijay! Vijay!
手术室准备好了 还有别的吗
The theatre's ready. Anything?
暂时还没
Not yet.
现在做什么
What now?
等着
We wait.
我想出来 我没法呼吸
我知道
握着我的手 好吗
这里有救援 你会没事的
当我说行的时候把他拉出来 好吗
OK, pull him when I tell you, right?
好
Yeah.
拉 现在
Pull. Try now.
不 没用
No, no good.
好 再来
Right, now.
继续 不要停 继续拉
Go on. Don't stop. Keep pulling.
继续
Come on.
好了 好了 救出来了
OK. OK, I've got him.
太好了
Ok. Ok.
Vijay Kholi 七岁
Vijay Kholi, seven years old.