got 50y old male he's currently stuck
有一名 50 岁男性，他目前被卡
under the second axle of an articulated
在一辆铰接式卡车的第二个轴下，
truck what's this trap's
这个陷阱叫什么
name okay and he went under the wheel so
名字，好的，他被卡在车轮下，所以
this gentleman is laying on his front
这位先生躺在他的
side can we just jump is he awake yes he
正面，我们可以跳下去吗，他醒了吗，是
is and what's injured so we believe the
的，他受伤了，所以我们 相信
right humor structure and we're
正确的幽默结构，我们也
concerned about this angulated leg as
关心这个有角度的腿，
well guys who's in charge F rescue I'm
伙计们，谁负责F救援，我
in charge of operation London's air
负责伦敦空中
ambulance is a charity we respond to the
救护车的行动，这是一个慈善机构，我们响应
most severely injured patients across
London there's always pressure to get
伦敦最严重的受伤患者，总是有压力
the patient treated on scene and to
病人在现场接受治疗并
hospital quickly there is a risk that as
迅速送往医院，当
we lift the vehicle we could fall onto
我们抬起车辆时，可能会摔倒在
him or us so we have an incident
他或我们身上，所以我们有一个事故
response officer hello mate who's
响应官员你好，伙计，谁在
coordinating the scene so what's the
协调现场，
plan you're going to lift it and then
你打算怎么做来抬起它 然后
we're going to the AAG under there
我们要去 AAG 下面，
it okay can I squeeze fast is that all
好的，我可以快速挤压一下吗，
right hey wand I'm Cosmo I'm one of the
好的，嘿，魔杖，我是 Cosmo，我是其中一名
doctors is his pain bad
医生，他的疼痛严重吗，
where this arm here and his leg Yeah
他的胳膊和腿在哪里？
okay as a patient if you don't know
好的，作为病人 如果你不知道
what's happening and no one can explain
发生了什么，没有人能用
that to you in your own language that
你自己的语言向你解释，那
would be
会很
terrifying people are often away from
可怕，人们经常远离
their family here it's really important
家人，在这里，
that I don't just sedate or give strong
我真的不只是给车下的 pyant 注射镇静剂或强力
analgesia to pyant under the vehicle
止痛药，
before we can physically get him out
然后我们才能真正得到 他
from underneath because sedation has
从下面出来，因为镇静剂有
side effects and can sometimes go wrong
副作用，有时会出错，
just in terms of time
只是时间问题，
he clearly could get worse so he kind of
他显然可能会变得更糟，所以他
needs to be out within the next 5 or 10
需要在接下来的 5 到 10 分钟内离开，
we're just going to get another AAG I'll
我们只需要再进行一次 AAG 我会
leave that with you second you're ready
这件事交给你，你准备好了，
say we're good to go we to go for it
我们可以走了，我们继续
okay there's always the possibility that
吧，我们有可能
we may have internal bleeding that we
出现我们
don't yet know about and is therefore
还不知道的内出血，因此
for a risk of dying on
有当场死亡的风险
scene how much long you think I just
你认为我需要多长时间我只
need to time this with what ready we
需要计时准备好
ready we can start lifting okay they're
我们就可以开始举起好的他们
ready okay so let's get the lift on then
准备好了好的让我们开始举起然后
we give them the one and we give the
我们给他们一个我们把
ketam in we SE comfy and we slide out in
ketam 放进去我们 SE 舒服然后我们滑动 在
the
cat going to have to go forward
猫要继续前进
yeah okay help me out now guys keep
是的好吧现在帮帮我伙计们
going keep going coming keep coming keep
继续前进继续前进继续
coming keep coming okay stop there stop
前进继续前进继续前进好吧，停在那里停在
there so he's
那里所以他在
breathing well done guys good
呼吸，干得好伙计们干得好
job I'm concerned that he's got multiple
我担心他有多处
things which are going to need to be
问题需要
treated by a major trauma team we need
由重症创伤团队治疗我们需要
to splint his horribly broken femur and
夹板 他的股骨严重骨折，
he could well have a broken pelvis ready
他的骨盆也可能骨折了。Grace
Grace lift hi guys it's Cosmo with hem
举起大家好，我是 Cosmo，
I've just got a prer for you we're going
我刚刚为你们准备了一个准备，我们要去
to
[Music]
[音乐]
go I have the privilege to help people
我有幸在人们感到
when they are terrified okay so this is
害怕时帮助他们 好的，这是
Pand any family not that I know of I
潘德，任何我认识的家人，我
always want them to know that they're
总是想让他们知道，他们
going to be looked after
会得到照顾的。
Orthopedic injuries are a right midshaft
骨科损伤是右中段
humorous fracture then his lower limbs
幽默骨折，然后是他的下肢，
he's got proximal FIB distal
他有近端腓骨远端骨折，
fibula broken broken broken broken this
骨折，骨折，骨折。
is going to be a few operations it's
要做几个手术，
going to take some time for you to
你需要一些时间才能
recover how long 6 to 12 months cuz it's
恢复，大概需要6到12个月，因为有
lots of big injuries where's your family
很多大伤，你的家人在哪里，
nobody know I'm here we'll take good
没有人知道我在这里，我们会好好
care of you okay we'll look after
照顾你的，好吗 我们会照顾
you the top end of the bone is
你的，骨头的顶端
effectively smashed into uh several
实际上被砸成了好
pieces it's a very complex and lengthy
几块，这是一项非常复杂和漫长的
operation okay stop yeah please
手术，好的，停下来，是的，请
everyone's nervous even though we've
大家紧张，即使我们已经
done it a million times how he will walk
做过一百万次了，他再次行走的方式也会受到
again is dramatically impeded if we
极大的阻碍 如果我们
don't get this correct within a
没有在毫米范围内正确定位，那么就
millimeter think one or two screws into
认为 G 上有一颗或两颗螺丝，
G the critical maneuver is to bring back
关键的操作是将
the bits of bone where they belong use
骨头放回原位，使用
that Mar there let's get a plate
Mar，让我们拿一块钢板，
guys and then hold them in place with
然后用钢板将它们固定到位
plates and screws Dr
和螺丝钉医生
please hi pan how are you feeling thank
请问你好潘你感觉怎么样
you very much pyan he was an RTA
非常感谢pyan他是一名RTA
pedestrian and um he's got multiple uh
行人他有多处
fractures that we've
骨折我们已经
fixed he's a 50-year-old pedestrian that
修复了他是一名50岁的行人被
was hit by hgv Lori he's done very well
hgv Lori撞倒他做得很好
he's on the route to recovery now
他现在正在康复的路上，
I think the team have been amazing at
我认为球队在让
keeping him optimistic and focused on on
他保持乐观和专注于
healing and it won't be too long before
康复方面做得很棒，用不了多久，
Pand is fully weight bearing again with
潘德就能完全负重和
your family which country Iraq Iraq okay
你的家人在一起了，哪个国家伊拉克伊拉克还好，
very far he has not seen his relatives
他已经走了很远 没有见过他的亲戚
and family members so what we are able
和家人，所以我们
to offer pwan is just understanding just
能给 pwan 的就是理解，和
talking to him if you need something
他谈谈，如果你需要什么，
tell me Taiwan will now be be focused on
告诉我，台湾现在将专注于
his rehab strengthening the muscles
他的康复，加强
around the joints we're expecting him to
关节周围的肌肉，我们期待他
make a full recovery no I'm all right
完全康复 我很好，
just I know I'm
我只是知道我很
lucky I've been lucky I L don't kill
幸运，我很幸运，我不会杀
me
我