there was a phone call from my mother
我妈妈打来电话
saying that my father had had a
说我爸爸
fall you could hear in her voice she was
摔了一跤，从她的声音里可以听出来她
very very
非常非常
scared go in the car I got to Mom and
害怕，我上了车，到了妈妈和
Dad's dad was in the back Garden lying
爸爸那里，爸爸在后花园里躺在
on the concrete floor in a lot of
水泥地上 非常
pain both his elbows were covered in
疼痛，他的两个肘部都沾满了
blood we had problems with his
血，我们
breathing is this the
呼吸困难，这是
traa uh it's coming
创伤吗，呃，它来了，
here I remember being saying to me if
我记得有人对我说，如果
you got a gun can somebody just shoot me
你有枪，有人可以射杀我吗，
he was in real
他真的很
pain sorry
痛苦，对不起，亲爱的，
love all right can we just all be quiet
好吧，可以吗 我们大家都安静下来，
to listen to the Handover this is Alan
聆听回归演讲，这是艾伦，
Alan is a 79 year old male um at 5:00
艾伦是一名 79 岁的男性，下午 5 点
p.m. today he's falling backwards off of
。 今天他从
about a one foot concrete ledge onto his
一英尺高的混凝土壁架上向后摔倒，手肘着地，
elbows upper back and a tiny little
背部上方还有一小块
ledge as well which I believe is uper
壁架，我相信那是
back of land on bluntly he's got quite a
土地的后方上方，他的左上侧有一个相当
large um hematoma to to the upper left
大的血肿
hand side of his back um it's very
嗯，
painful to power pate and reduce chest
用力压胸口和减少胸腔声音非常痛苦，
sounds that side he was hypoxic at 87
when we got there his heart rate was 120
当我们到达那里时，他的缺氧量为 87，他的心率为 120
and he's had 6 Mig of Mor morphine in
，他总共服用了 6 Mig 吗啡，
total did the primary Serv if you happy
做了初级服务，如果你高兴的话，
okay Alan do you mind if I just have a
好吗艾伦，你介意吗 如果我
quick look over you where's it most
快速看一下你，你
painful at the moment around there okay
现在最疼的地方在哪里，好吧，
a patient with chess War tenderness you
一个有象棋战争压痛的病人，你
start thinking is there going to be any
开始想，这里会不会有
Bren ribs that can damage the lung
布伦肋骨会损害肺部
itself around here you want to quickly
本身，你想快速
assess if the patient has collaps long
评估一下 病人长时间虚脱，
which can cause problems in breathing
可能导致呼吸困难，
which can be life-threatening so he's
可能危及生命，所以他
got reduced air entry at the left Bas
左侧的空气进入减少，腹部
with a couple of crackles puls is
有几声爆裂声，脉搏不
irregular have a look at your back now
规律，现在快点看看你的背部，
quickly okay is it left well it's the
好吗？是左边吗 嗯，
majority of it is probably left but it's
大部分可能在左边，但
also Central spreading out to the right
也有中央向右扩散，
am I assuming that it's getting bigger
我猜它
in front of my eyes or it is actually
在我眼前变大了，还是它实际上
getting bigger a hematom that's getting
变大了，血肿变
bigger means that there is active
大意味着有活动性
bleeding which could be a sign of even
出血，这可能是
more serious injuries inside someone's
一个人体内受伤更严重的迹象，
body his tacky blush his waterline
他的脸红了，他的水线
Central spinal tenderness Central
中央脊柱压痛中央
thoracic tenderness yeah he's falling
胸部压痛是的，他摔倒了，
he's on his oan he's got massive hoto on
他躺在他的床上，他的背部有大量的热量，
his back with tender chest and low sat
胸部疼痛，座位低，
so let's go for a pan CT then here I
所以让我们去做全景 CT 然后这里 我
booked a CT just give them a call
预约了 CT 给他们打电话
[Music]
[音乐]
so you are I'm his son on a station
所以你是我在救护车服务站工作的儿子
offic the ambulance service I'm in the
我在
NHS I thought I've seen everything but
NHS 工作我以为我什么都见过但这
it's totally different this is your
完全不同这是你的
father somebody that I I you know I love
父亲某个人 我，你知道我爱
and he at his age could be quite
他，他这个年纪可能会很具
devastating Ines I was really really
破坏性，伊内斯，我真的很
frightened well B thorax he got this
害怕，嗯，胸部的 B 他
large iMat on left
在左侧有这么大的 iMat，
side T work lot when I was a Youngster
T 工作很多，当我还是个孩子的时候，
he was an engineer I knew works on the
他 是一名工程师，我知道他在
NatWest
NatWest
Tower it's impressive hearing
Tower 工作，听到
that dad had a very busy working life he
爸爸工作非常忙碌，他很长
wasn't around for a good period of
一段时间都不在身边，这让我印象深刻。
time I always look forward to some
我总是期待一些
holidays because we went away as a
假期，因为我们全家都出去了。
family you get those unque times with
和爸爸一起度过那些特别的时光，
your
dads remember being in Scotland my
记得在苏格兰的时候，我
father taught me to fish he would teach
爸爸教我钓鱼，他会教
you how to get your line out how to roll
你如何把鱼线拉出来，如何把鱼卷
back all those
回来，所有这些
things it was amazing I called the Jack
东西都很神奇，我把杰克
pike a baby
梭子鱼称为小梭子
pike the size of the fish was probably
鱼，鱼的大小 可能和
the size of my Welles cuz I was only a
我的威尔斯一样大，因为我当时只是
little
个小
lad it's just great being with your
男孩，和你爸爸在一起真是太好了，
dad all right Alan love you you just you
好吧艾伦爱你你
just stay nice and still for us okay
只是对我们保持友好和安静好吧
well
好吧是的
right
yeah you're related to him your son
你和他是亲戚你的儿子
son oh dear are you out there today cuz
儿子哦 亲爱的，你今天在吗，因为
it was the first day it was dry no
这是第一天，它是干燥的，没有
watching just going to give you a
观察，只是给你一些
medication because you are on blood
药物，因为你正在服用血液
thinners we don't want some other bleeds
稀释剂，我们不想再发生一些出血，
happen say again lovely
再说一遍，可爱的
come on there I
来吧，我
can't as a child I remember seeing my
可以 我记得小时候看过我
father's boxing
父亲的拳击
memorabilia paper cuttings and there's
纪念品剪纸 还有
some
一些
photographs there's a great big box full
照片，还有一个装满
of trophies that I used to play with
奖杯的大盒子，我以前玩的时候，
immensely proud thing to see your
看到你
father's name on something they had
父亲的名字出现在他们赢得的东西上，
won
I was fortunate enough to spend time
我感到无比自豪，我很幸运能
with my
和我的
grandfather he would always tell me
祖父一起度过时光，他总是给我讲
stories about the way my dad fought in
故事 我爸爸在
the places that he
fought it might have been one of those
战斗过的地方战斗过，这可能是父子关系，
father son
things probably very similar
可能
relationship my dad had with his dad
我爸爸和他的爸爸之间的关系和我和
that I have with my
我
father oh dear Alan what a state to be
爸爸之间的关系很相似哦，亲爱的艾伦，
in you in the right place though aren't
你在正确的地方，这是一种什么样的状态 是
you
yeah my father spent a lot of time with
啊，我父亲花了很多时间和
his dad and I know the effects it had on
他爸爸在一起，我知道这对
on my dad when my grandfather passed
我爸爸的影响，当我的祖父去世时
away how's your
走了，你的
pain you are going to get Morphin now
痛苦怎么样了，你现在要去打吗啡，
but in like in half an hour if it's
但要过半个月 小时，如果
there's no improvement or it's getting
没有改善或变得
worse please let us know specifically
更糟，请具体告诉我们
your breathing I need we need to know
你的呼吸情况我需要我们
very urgently if you think that you your
非常紧急地知道如果你认为你的
breathing is getting well
呼吸正在好转，
is that fair yeah good man all right he
那么公平吗是的，好人，好吧，他
would have been doing his best for his
会尽力而为
family and I now know that's why he
我现在知道这就是为什么他
wasn't around for a good period of time
很长一段时间不在我身边 时间
right Alan we're going to give you some
到了艾伦我们会给你一些
fluid okay just cuz your blood pressure
液体好吗只是因为你的血压
just keeps dropping a little bit
有时会下降一点
sometimes dad just kept going during
爸爸在这段时间里一直在工作
that time because people needed
因为人们需要
him and dad would go there to see his
他爸爸经常在早上去那里看望他的
dad quite often in the morning before
爸爸
work or after work dad would sit and
上班前或下班后，爸爸会坐下来
talk about bits and
聊一些
Bobs but the um leaves are coming off
零碎的事情，但是核桃树上的叶子都掉光了，
the Walnut Tree
Nows have the
现在有了
Walnut dad a walnut tree is like a
核桃爸爸，核桃树
supermarket for squirrels it's free it's
对松鼠来说就像是超市，它是免费的，
like a food bank I get to watch
就像是食物银行，我可以看着
them the back
它们
side yeah but what you got to remember
背面是的，但你要记住的
is I'm getting to see a better life AR
是，我看到了更好的生活。
I what I learned from my my father is
我从我父亲那里学到的是，
that time is probably one of the biggest
时间可能是最重要的
things it's not what you do it's the
事情之一，它不是你做什么，而是
time you give people not what you say
你给别人的时间 不是你说了什么，
it's the time you give someone you know
而是你给某人的时间，你知道，
you sit in the cottage you look out the
你坐在小屋里，你看着
window and you see the birds you see the
窗外，你看到了鸟儿，看到了
squirrels you see the lot I was 14 when
松鼠，看到了许多东西，我 14 岁时，
my grandfather passed away my dad's
我的祖父去世了，我爸爸的
dad I remember it being very difficult
爸爸，我记得那是
for my father um he was very delicate he
对我父亲来说非常困难，他非常脆弱，他
was absolutely devastated and broken I
绝对 心碎了，我小时候
probably didn't understand what I saw
可能不明白我所看到的，
when I was younger but as an adult now
但现在作为一个成年人，那
that must have been a horrendous time
for
对
him I'm absolutely sure it crucified him
他来说一定是一段可怕的时光，我绝对相信那段时光折磨着他，
you still in pain sweet PE I so just
你仍然在痛苦中，亲爱的 PE，我只是在
talking when you watch people look after
说 看着人们照顾
other people and you learn from that you
别人，你就会从中学到，你会
see the effect of what human being can
看到人类
have on another person I think they're
对另一个人的影响，我认为它们是
quite powerful things so yeah definitely
非常强大的东西，所以是的，绝对给
left an indelible imprint on
me are you warm enough
我留下了不可磨灭的印象，你够暖和吗，
dad
爸爸，
I joined the ambulance service when I
我加入了救护车 21岁时我就开始服役了，
was
21 I'm definitely inspired by my father
我父亲给了我很多启发，
he probably gave me a
他给了我
career yeah definitely gave me a
事业，是的，他给了我
career hello there again it's us back
事业，大家好，我们又回来了，
initial scan results suggest Allan has
初步扫描结果表明，艾伦
sustained serious internal injuries
after falling in his garden so the main
在花园里摔倒后遭受了严重的内伤，所以主要的
pain is around here rather than in the
疼痛 是在这附近而不是在
back oh yeah iside it's in there okay
后面哦是的在里面它在里面好的
you have some broken rib and obviously
你的肋骨断了很明显
this big lump in the back is going to
后面的这个大肿块会
press on your nerves and cause some pain
压迫你的神经并引起一些疼痛
he's got some broken ribs he's got a
他的肋骨断了他有
Nemo
尼莫
thorax Nemo thorax basically means
胸腔尼莫 胸腔基本上意味着
collaps long and it happens because of
塌陷 这种情况会持续很长时间，因为
the accumulation of air outside of the
lung between the lung and the chest wall
肺外的空气在肺和胸壁之间积聚
and that amount of air can press on the
，这些空气会压迫肺部，
lung and the lung can't expand whether
we sit on it rather than putting a drain
无论我们是坐在上面还是给他放引流管，肺都无法扩张
in him that will be the best call I
我认为这是最佳选择，
think can you just hold this arm up like
你能帮我像这样举起这只手臂吗，
this for me while they await the full CT
他们正在等待完整的 CT
report doctors are carrying out further
报告，医生正在做进一步的
investigations to help decide how best
检查，以帮助决定如何最好地
to treat his pain for broken R we
治疗他的右肋骨折断疼痛，我们
sometimes do a nerve block but again I'm
有时会做神经阻滞 但是我还是
a bit apprehensive in terms of putting a
有点担心，不知道该不该用
good size needle yeah with elderly
大号针头，对老年
patients it's important to take a step
患者来说，重要的是要三思而行，因为这
back and trying to think twice about a
procedure you can potentially cause
可能会对
damage to other structures and the
其他组织造成损伤，
patient can easily bleed a
患者也很容易出血
lot for the pain management better just
对于疼痛管理，最好只
give you morph and parac stuff like that
给你 morph 和 parac 之类的东西
and if you're not winning then we take
，如果你没有获胜，那么我们冒着
the risk of injecting something into the
在胸壁注射某种东西的风险来
chest wall for the broken rib sometimes
治疗肋骨断裂，有时
the right thing to do is
正确的做法是
nothing but if you actually make the
什么，但如果你真的 做出
wrong decision it can easy be
错误的决定很容易
lifethreatening it can go either way it
危及生命，任何事情都有可能发生，
can go either way to be
任何事情都有可能发生，说
honest I'm not sure if this one is acute
实话，我不确定这是急性的
or longstanding right so this
还是 长期以来，对，所以这个具
challenging Challen so again from the
有挑战性的挑战，所以再次从
their about this one
他们关于这个
right my father's always been supportive
对，我的父亲一直支持
of what I've chosen to
我选择
do and always been there
做的事情，一直在那里，
I always wanted them to be proud of what
我一直希望他们为我所做的事情感到骄傲，
I
did what blood is all this
血缘关系就是一切 这
is I'm only 0 H another 20 years oh God
是我只有 0 H 再过 20 年哦天哪
yeah at
是的
least I do worry about D getting old a
至少我确实担心 D 有点老
bit it's something I try not to think
这是我尽量不去想那么多的事情
about that much you're
你很
lovely nice you're
可爱很好你很
lovely
可爱
oh don't she'll be after me don't tell
哦她不是吗' 会追着我，别告诉
her please
她，请
don't the body is slowing that mind's
不要，身体在变慢，头脑
not my dad has always been Invincible to
不是，我爸爸对我来说一直是无敌的，
me I'm lucky that I don't just have a
我很幸运，我不只有一个
dad I've actually got a best friend in
爸爸，我实际上有一个最好的朋友
my
dad so probably repeat CT or repeat
爸爸，所以明天可能会重复 CT 或重复
X-ray
X 光检查
tomorrow Dad I'll catch up
爸爸，我会赶上
sunshine Allan will be taken to the ward
阳光艾伦将被带到病房，
where neurosurgeons will invest igate
神经外科医生将研究
the damage to his
他
spine do you know do you guys know you
脊椎的损伤你知道吗你们知道吗
guys know we find someone who
你们知道我们找到一个人 我
knows that's the
知道
beauty of working in a big
在大团队中工作的美妙之处，
team the nature of my job is seeing all
我的工作性质是 看到所有的
the
patients I haven't slept well for the
病人，过去 18 个月我都没睡好过，
last 18 months so since the pandemic
自从疫情
started I see how it's affected all the
开始以来，我看到了它对所有人的影响，
people my dad is getting older what if
我爸爸正在变老，如果他
something happens to
出了什么事，
him I was extremely happy to come home
我非常高兴 回家，
but person that I missed was noral you
但我思念的人很正常，你
know not being away from
知道，没有离开
her but I've been lucky cat with nine
她，但我一直是一只九膝幸运猫，
knes I am an awful lot more careful than
我比
I ever
以往任何时候都更加小心，
was I got too much to do to want to go
我有太多事情要做，不想去
anywhere else at the
其他地方
moment I just asked what keeps you young
我问爸爸，是什么让你保持年轻
dad and he said it was I don't mix with
，他说，因为我不和老年人混在一起
old
people