《醫(yī)護英語》第四章課件

IntheEmergencyRoom醫(yī)護英語——15243Warmuppart1part2part3part4WarmupTaskTask:ThinkthefollowingquestionanddiscussitwithyourpartnerWhichofthefollowingsymptomsdoweneedtogototheemergencyroom?Haveafever?Bleeding?Pains?e.g.headache,toothache,stomache?Coma(昏迷)？Heartdiseases?Injury?Canyounamemore?part1DialogueDialogue1Ihaveahighfever.Task1:Listenandrepeat(Intheinjectionroom)Nurse: Goodafternoon,whatcanIdoforyou?Patient: IhaveahighfeverandIneedaninjectionatonce.Nurse: Iwanttoknowifyouareallergictoanymedication.Patient: Whatdoyoumean?Nurse: Forexample,penicillin?Patient: Oh,I’mnotsure.Nurse: Now,I’mgoingtodoaskintesttoseeifyouhaveanysensitivity.Patient: Isitpainful?Nurse: Well,alittle.Doyoufearit?Patient: Notsobad.Dialogue1Ihaveahighfever.Task1:ListenandrepeatNurse: I’llseetheresultinfifteenminutes.Ifyoufeelitchyorshortofbreath,pleaseletmeknowatonce.Patient: OK,noproblem.(Fifteenminuteslater)Nurse: NowI’mgoingtogiveyouaninjection.Aftertheinjection,you’llfeelmuchbetter.Patient: Thanksalot.Nurse: Pleasetakethemedicineontime.

Youwillrecoversoon.Patient: OK,I’llrememberit.Nurse: Haveagoodrest.Good-bye.Dialogue1

Ihaveahighfever.Task1:Listenandreadthedialogueandlearnthefollowingnewwordsandexpressionsallergic [?'l??d??k] adj.對……過敏的sensitivity [sens?'t?v?t?] n.敏感；過敏result [r?'z?lt] n.結(jié)果itchy ['?t??] adj.發(fā)癢的recover [r?'k?v?] v.恢復askintest 皮試(be)shortof 缺少；缺乏noproblem 沒有問題Dialogue1

Ihaveahighfever.Task2:Learnthenotesbelow1.IhaveahighfeverandIneedaninjectionatonce.【參考譯文】我發(fā)高燒了，需要立刻打針。2.Iwanttoknowifyouareallergictoanymedication.【參考譯文】我想知道你是否對某些藥物過敏?！菊Z法點撥】beallergicto對……過敏3.I’mgoingtodoaskintesttoseeifyouhaveanysensitivity.【參考譯文】我要給你做皮試來確定你是否對某些藥物過敏。4.Ifyoufeelitchyorshortofbreath,pleaseletmeknowatonce.【參考譯文】如果你感到癢或者呼吸緊促，請馬上告訴我。Dialogue2StitchingawoundDr.Heron:So,thismightstingabit.I’mjustcleaningthewoundbeforeIstartstitching.Paul:It’sOK.Itdoesn’thurt.Dr.Heron:AndnowI’mgivingyoualocalanaesthetic,soyouwon’tfeelthestitches.Paul:OK.Dr.Heron:Thereweare.Leavethatforaminuteortwo,thenwecanstitchthecut.So,doyouliveinChicago,Mr.Holloway?Paul:No,I’mworkinghereasabuilder.Dr.Heron:Oh,Isee.Theanaestheticshouldbereadynow,sowecanstart.Anna,theneedle,please.Andwhereareyouworkingexactly?Paul:Inthecitycenter.we’rebuildingabigshoppingcentrethere.Dr.Heron:Oh,yes,IthinkIknowit.OntheBridgeStreet.Paul:That’sright.Dr.Heron:Almostready.Doesithurtatall?Paul:No,Icanfeelit,butitdoesn’thurt.Dr.Heron:Good.Allweneednowisadressing.Almostdone.Mmm…Canyoucomebackinfivedays?Paul:Sure.Dr.Heron:Thenwecantakethestitchesout.I’llwriteyouasicknoteandthenseeyouinfivedays.Paul:That’sgreat.Thanksverymuch.Dialogue2StitchingawoundTask1:Listenandreadthedialogueandlearnthefollowingnewwordsandexpressionssting [st??]

n.刺痛local ['l??k(?)l] adj.當?shù)氐?；局部的anaesthetic [??n?s'θet?k] n.麻醉劑；麻藥needle ['ni?d(?)l] n.針exactly [?g'z?k(t)l?] adv.精確地；正確地；恰好地shoppingcentre 購物中心sicknote 病假條Dialogue2StitchingawoundTask2:Learnthenotesbelow1.I’mjustcleaningthewoundbeforeIstartstitching.【參考譯文】在開始縫合你的傷口之前，我需要清洗你的傷口?！菊Z法點撥】stitchawound縫合傷口；cleanthewound清洗傷口。2.Andwhereareyouworkingexactly?【參考譯文】你具體在哪兒工作？

3.Thenwecantakethestitchesout.【參考譯文】接下來，我們就可以拆線了?！菊Z法點撥】takethestitchesout拆線4.I’llwriteyouasicknoteandthenseeyouinfivedays.【參考譯文】我會給你寫個病假條，五天后見?！菊Z法點撥】writesb.anote給……寫病假條Part2PassageHowtoTellWhenaWoundNeedsStitchesThefirstconcernwithopenwoundsistocontrolbleeding.Whenevaluatingawoundtodecideifitneedsstitches,thereareseveralquestionsthatneedtobeanswered.Stitchesareusedfortworeasons.Closeawoundtopromotehealinganddiscourageinfection.Reducescarring.Todetermineifstitchesareneeded,lookatthreethings:Depth.Isthewounddeepenoughtoseethesubcutaneoustissue?Ifso,thewoundisdeepenoughtogetstitches,butstillmaynotneedthem.Width.Canthewoundbepulledclosedeasily?Ifthewoundisgappingandcannotbeeasilypulledclosed,thenitwillneedstitchestoholditclosedlongenoughtohealcorrectly.Location.WoundsonareasofthebodythatstretchandmovealotwillneedstitchesmoreoftenthanthoseonHowtoTellWhenaWoundNeedsStitchesareasthatdonotmoveasmuch.Forexample,awoundontheforearmwillnotmoveasmuchasawoundonthecalf,soitwouldnotnecessarilyrequirestitches.DressinganOpenWoundDon’tdressawoundwithoutfirstcleaningitaswellaspossible.Ifyoucan’tgetitclean,leaveitopenandseekmedicalattention.Coverthewoundlightly.Alwayschangedressingsevery12hours.HowLongDoIHavetoGetStitches?Rememberalways,keepthewoundclosedandkeepitclean.Howmuchtimedependsonanumberoffactors.Ifthewoundhasahighlikelihoodofcontamination,thenyouhaveaboutsixhourstogetstitchesbeforethewoundwillbecometoocontaminatedtostitch.Woundswithlesschanceofcontaminationmaybestitchedaslongaseighthoursaftertheinjury.HowtoTellWhenaWoundNeedsStitchesTask1:Readthepassageandlearnthefollowingnewwordsandexpressionsconcern [k?n's??n] n.關(guān)心；顧慮

evaluate [?'v?lj?e?t] v.評價；估價promote [pr?'m??t] v.促進；提升discourage [d?s'k?r?d?] vt.阻止；使氣餒infection [?n'fek?(?)n] n.感染；傳染scar [skɑ?] n.創(chuàng)傷；傷痕subcutaneous [?s?bkju?'te?n??s] adj.

皮下的；皮下用的tissue ['t?sju?] n.組織gap [g?p] v.（傷口）裂開location [l?(?)'ke??(?)n] n.位置HowtoTellWhenaWoundNeedsStitchesTask1:Readthepassageandlearnthefollowingnewwordsandexpressionscalf [kɑ?f] n.小腿factor ['f?kt?] n.因素；要素likelihood ['la?kl?h?d] n.可能性contamination [k?n?t?m?'ne???n] n.污染thesubcutaneoustissue 皮下組織dressanopenwound 包扎開放型傷口anumberof 許多，若干aslongas 只要HowtoTellWhenaWoundNeedsStitchesTask2:Learnthenotesbelow1.Closeawoundtopromotehealinganddiscourageinfection.【參考譯文】縫合傷口以加快傷口愈合并減少傷口感染。2.Woundsonareasofthebodythatstretchandmovealotwillneedstitchesmoreoftenthanthoseonareasthatdonotmoveasmuch.【參考譯文】傷口在容易拉伸和活動的地方比在不大容易拉伸和運動的地方的傷口更需要縫合。3.Ifthewoundhasahighlikelihoodofcontamination,thenyouhaveaboutsixhourstogetstitchesbeforethewoundwillbecometoocontaminatedtostitch.【參考譯文】如果傷口感染的可能性很高，那么應該在傷口感染至不能縫合的六個小時內(nèi)進行縫合。Task3:Answerthefollowingquestionsbasedonthepassage1.Whatisthefirstconcernwithopenwounds?

_____________________________________________________2.Todetermineifstitchesareneeded,whichthreethingsshouldbeconsidered?

_______________________________________________________________3.Whatshouldbedoneatthefirstplacebeforedressingawound?________________________________________________________________4.Howmanyhoursarethereforyoutostichyourwoundifthewoundhasahighlikelihoodofcontamination?________________________________________________________________5.Ifthewoundisdeep,butthesubcutaneoustissuecannotbeseen,isitneedgettingstitches?_________________________________________________________________Thefirstconcernwithopenwoundsistocontrolbleeding.Depth,widthandlocation(shouldbeconsidered).Cleanthewoundfirst.Aboutsixhourstogetstitches.No,itneedn’t.Part3ExercisesTask1:Fillintheblankswiththeappropriateformofthefollowingwordsorphrasesallergic

itchy anaesthetic

concern

promote

tissue emergencyresult

evaluate

contamination1.Theoperationiscarriedoutunderageneral_____________.2.The__________showtheleveloffrustrationamonghospitaldoctors.3.The__________markedaturningpointinhercareer.4.Thereisnoevidenceof______________inourlab,andwehavecontrolledforthatallalong.anaesthetic

results

promotion

contaminationTask1:Fillintheblankswiththeappropriateformofthefollowingwordsorphrases5.__________roomdoctorssaidtheywereseeingmorecasesandworsesymptomsthanlastyear.6.Theywillfirstsendintrainednursesto__________theneedsoftheindividualsituation.7.Someone__________tomilkislikelytoreacttocheese.Emergency

evaluate

allergicallergic

itchy anaesthetic

concern

promote

tissue emergencyresult

evaluate

contaminationTask1:Fillintheblankswiththeappropriateformofthefollowingwordsorphrases8.The__________isexaminedmicroscopicallytoruleoutorconfirmcancer.9.Symptomsincludered,__________andinflamedskin.10.Theyare__________aboutmywelfare.tissueitchy

concernedallergic

itchy anaesthetic

concern

promote

tissue emergencyresult

evaluate

contaminationTask2:Multiplechoices1.Morethantwostudentshavebeen__________inthisaffair.A.revolved B.inferredC.lost D.concerned2.Sheatonce__________herselfandstoppedcrying.A.got B.recoveredC.covered D.remembered3.Everyeveningthe__________peoplewalkaroundthepark.A.smile B.ordinaryC.local D.neighborDB

CTask2:Multiplechoices4.Theyhaveretrained__________youngtechniciansforourfactory.A.anumberof B.thenumberofC.numbers D.manymuch5.Ifyouhaveafeverwhenyouareill,yourbodytemperatureis__________thanusual.A.high B.morehighC.higher D.nohigh6.Thiscornerwouldmakeagood__________foragasstation.A.site B.spotC.position D.locationAC

DTask2:Multiplechoices7.__________youaregoing,I’llgotoo.A.Aslongas B.AssoonasC.Though D.For8.Ifyoufeelitchyorshortof__________,pleaseletmeknowatonce.A.break B.breathingC.breath D.breatheACTask2:Multiplechoices9.Thetwofirmswerejoinedupto__________competition.reduce B.add C.weak D.cutdown10.Iwanttoknowifit__________.Ifit__________I’llgoforapicnic.A.willrain;don’train B.rains;doesn’trainC.willrain;doesn’train D.rains;won’trainACTask3:Translation1.我想知道你對某些藥物過敏嗎？(beallergicto)

_____________________________________________________2.血從他的傷口涌了出來。(wound)

____________________________________________________

3.護士替他清洗傷口后又給他包扎了傷口。(cleanone’swound)_____________________________________________________4.他們團結(jié)一致以應付緊急情況。(emergency)

___________________________________________________

5.我的叔叔吉姆昨晚發(fā)高燒了。(haveahighfever)

____________________________________________________

Iwanttoknowifyouareallergictoanymedication.

Bloodstartedoutofhiswound.Thenursecleanedhiswoundfirstandthendressedit.Theywereholdtogethertodealwithemergency.MyuncleTomhadahighfeverlastnight.Task4:RolePlayThepatient,agirlnamedLily,hasanaccident.Thensheissenttothehospital.Twostudentsformapair.OnestudentplaystheroleofLilyandtheotherplaystheroleofthenurseintheemergencyroom,tomakeanconversationaccordingtotheinformationabove.Part4SupplementaryReadingHowtoTreataBurnBurnscanbeverypainful,butifyoufollowthesesimpleburntreatmentrules,theywillhealfasterandleavefewerscars.StopBurnsQuicklyCoolburnswithrunningwaterforatleast5minutes.Lookforblisteringormissingskin.Ifanarealargerthananarmorthethighisblistered—ormissingskin—call911.TypesofBurnsRemember,sunburnsarenodifferentthanothertypesofburnandlargeblisteredareasshouldbeseenintheemergencydepartment.Burnscausesw