FTED After MOTORCYCLE HGV LORRY CRASH |
any resar Rich Beacon yeah yeah that's
任何 resar Rich Beacon 是的,就是
just it motorcyclist versus Lori they
这样 摩托车手与 Lori 他们
coming in by the air ambulance estimated
乘坐空中救护车过来 预计
time arrival is about 5 minutes
到达时间约为 5 分钟
suspected head and chest
怀疑头部和胸部
injuries a motorcyclist has had an
受伤 一名摩托车手被
injury with a hgv you anticipate the
一辆重型货车撞伤 你预料到
absolute worst ready Embrace and
最坏的情况 准备好拥抱并
move and
移动
lower when we hear a patient is on the
当我们听说有病人
way with a head injury and they're
头部受伤,正在赶往医院途中,并且正在
having a seizure we really need to work
癫痫发作时,我们真的需要
at PACE to try and find out exactly
在 PACE 上努力工作,试图找出到底
what's going
发生了什么,
on patience here ready steady all right
耐心等待,大家准备好,好的,
guys this is Danny he's SP years old he
这是丹尼,他是 SP 年 他
collided with ag Lori we believe he slid
与洛里相撞,我们认为他滑到了
under the Lori he had only helmet and no
洛里下面,他只戴了头盔,没有
other protected flooding he has blood
其他防护措施,他的
coming from the left ear and he's just
左耳流血,他刚刚
had a seizure on the pad it's lasted
在护垫上癫痫发作,
probably 1 and a half minutes he's had
大概持续了 1 分半钟,他服用了
paracetamol onanon Morphin fanil and
扑热息痛 onanon Morphin fanil,
he's just had two Med on the pad thank
他刚刚在垫子上吃了两片药,
you very much Danny Danny Danny when a
非常感谢丹尼丹尼丹尼当一个
patient with a significant head injury
头部受伤严重的病人
becomes unresponsive it can suggest that
失去反应时,这可能表明
they have worsening bleeding around the
他们的出血情况恶化 大脑周围
brain Danny open your eyes
丹尼睁开你的眼睛
mate don't know any
伙计不知道任何
jails we just know what something very
监狱我们只知道发生了什么非常
serious happens did not wake up I very
严重的事情没有醒来我很
scared because I think something happens
害怕因为我认为
with his brain ahead make sure scan's
他的大脑发生了什么事确保扫描
ready no one away cheers Ollie traumatic
准备好了没有人离开欢呼奥利创伤性
brain injury is a leading cause of death
脑损伤 是导致受伤患者死亡的主要原因,
amongst injured patients so it's
因此,
imperative that we go straight to the CT
scanner and get the neurosurgeons
involved if he needs an emergency
如果他需要紧急
operation Den's 20-year- old male who's
手术,我们必须直接进行 CT 扫描仪检查,并让神经外科医生参与进来。丹的 20 岁男性,他被
brought in by air ambulance he'd been in
空中救护车送来,此前他曾
an accident involving an hgv and a
一辆货车和一辆
motorcycle he ended up underneath the
摩托车相撞,他最后被压在
hgv D can you open your eyes for me we
货车下面,你能帮我睁开眼睛吗?我们
had a head injury and on his way down
头部受伤了,在他
from the helipad he'd had a seizure his
从直升机停机坪下来的路上,他癫痫发作,他的
conscious level's dropping he's not
意识水平下降,他一直没有
particularly responsive all of this is
特别的反应 这
pointing to something really really bad
表明他的头骨内部发生了一些非常非常严重的问题,
going on inside his skull now that we've
现在我们已经
incubated denil it's really important
孵化了丹尼尔,
for us to try and get him to CT scan as
对我们来说,尽快让他去做 CT 扫描真的很重要,
quickly as we can our biggest concern is
我们最担心的是
he has bleeding on his

brain every day when he go to work with
每天都在脑部出血 当他走的时候
his bike every time I'm thinking please
每次我都想着今天不要骑自行车,
not
today and finally it
最后终于
happens two police cars came to our
发生了两辆警车来到我们
house they say you better sit
家,他们说你最好坐下
down breathe in and hold your breath
来呼吸,
every second Wass like a
每一秒都屏住呼吸,持续了一个
hour obviously it's incredibly
小时,显然这
distressing for a patient's family so
对病人来说是非常痛苦的 家人,所以
there's a lot of riding on us finding
我们很担心,想
out what's actually going on and getting
知道到底发生了什么,
the right treatment started early we
尽早开始正确的治疗,我们
done thank you thank
做到了,谢谢,谢谢,
you
lots of gray
很多
white I think he's got a small amount of
灰白色,我认为他也有少量的
subdural as well there the CT scanner
硬膜下组织,CT 扫描仪
shows that he's got some bleeding with
显示他 他的大脑内部有一些出血,
inside his brain some bruising inside
his brain his lungs are not very nice at
他的大脑内部有一些瘀伤,他的肺部一点也不好,是
all are they yeah it's contusions isn't
的,是挫伤,不是
it the way that looks the density I
吗,看起来密度很高,我
think that's blood he's also got
认为那是血,
bruising to his lungs he's also broken
他的肺部也有瘀伤,他也骨折了
some bones in his spine as
一些 他的脊椎骨
well how to you then he's still in a
以及你的情况如何,那么他仍然处于
very precarious position and all our
非常不稳定的状态,我们
treatment efforts at the moment is to
目前所有的治疗努力都是
try and make sure that the brain stays
试图确保大脑保持
healthy and doesn't get any further
健康,不会因
injury from the effects of the bruising
瘀伤的影响而受到进一步的伤害
he'll be kept asleep on the Intensive
他将被保留 在重症
Care Unit and over the next few days
监护室睡着了,在接下来的几天里,
we'll be able to try and assess whether
我们将能够尝试评估
we have irreversible neurological
我们是否有不可逆转的神经
damage denil was involved in a serious
损伤,丹尼尔卷入了一场严重的
road traffic accident he'd sustained a
交通事故,他受了
lot of injuries but we were most
很多伤,但我们最
concerned about was that he'd had a
担心的是 是他遭受了
significant brain injury and bleeding in
严重的脑损伤,脑内
and around the brain he was admitted to
和脑周围出血,他被送入
the neurointensive Care Unit where he's
神经重症监护室,在那里他
kept in a medically induced coma so that
处于药物诱导昏迷状态,以便
neurosurgeons could monitor the
神经外科医生可以监测
pressures his
他的
brain the team have woken him up a
大脑压力,团队已经唤醒他
couple of days ago and are now assessing
几次 几天前,现在正在评估
to see if there's any ongoing
是否有任何持续的
neurological
神经
damage good morning morning Danny
损伤早上好早上丹尼
morning how are you Daniel how are you
早上好你好吗丹尼尔你感觉怎么样
feeling alive do you know where you are
你知道你现在在哪里吗
at the moment uh St George's Hospital
呃圣乔治医院
correct
正确是的
yeah fine we've had a discussion about
很好我们有一个
the situation this morning that the
今天早上讨论的情况是
repeat C had yeah show minimal bleeding
重复 C 有是的显示少量出血
minimal bleeding improving the brain
少量出血改善脑
bleeder is improving and then one of our
出血正在改善然后我们的一位
hand surgeons will see you in the clinic
手外科医生会在诊所见到你好
okay we've good well done okay thank you
的我们做得很好好的
so much trauma is typically a male
非常感谢创伤是 通常是一种男性
disease so globally it affects more men
疾病,因此在全球范围内,它对男性的影响大于
than women predominantly if males under
对女性的影响。 主要是如果男性在
the age of 50 tends to be because of the
50 岁以下往往是因为
activities that men
男性
do motorcyclists are incredibly
所做的活动摩托车手是非常
vulnerable undoubtedly denil has been
脆弱的毫无疑问丹尼尔已经
very
非常
lucky 4 days with ventilated
幸运 4 天与通风
lungs was too scared and and on the
肺太害怕和在
fifth day he wake
第五天他
up I was on a motorcycle and apparently
醒来我在摩托车上 显然
I went into into side of a l or
我陷入了困境,或者
something like that first thing I
类似的事情,我记得的第一件事
remember is me waking up in the
是我在
hospital um mom that was I was bad
医院醒来,妈妈,我
feeling I know she cares very deeply
感觉很糟糕,我知道她非常关心
about me and if she loses me that'll be
我,如果她失去我,那将是
the end of everything for her she means
对她来说,一切都结束了,她对
all to me don't remember but when he
我来说意味着一切,我不记得了,但当他
woke up he asked me why we in
醒来时,他问我为什么在
China I was very scared because I think
中国,我很害怕,因为我认为
something happens with his
他的大脑出了问题,
brain
okay the main thing he is
好吧,最重要的是他还
alive and after one week he already
活着,一周后他 已经可以
walking talking eating and
走路说话吃饭
everything this is not Miracle you know
等等了这不是奇迹你知道我们
we guys just know what to do and they
这些人只知道该做什么他们
save my
救了我的
son they like
儿子他们就像
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